Clinical Appeals Nurse

Job Summary:The Clinical Appeals Nurse is responsible for handling appeals requiringclinical input or interpretation**Responsibilities**:- Compose clinical appeal letters to send to payers for denial reconsiderations utilizing documentation, contract language, or voice recordings as applicable- Present a concise medical summary within each appeal based on...

**MatchMedics are working with the largest and most diverse health services group in the cruise industry on the lookout of over 50 nurses to provide quality healthcare to their guests and crew while they sail the world creating lasting memories.**Nurses also perform various technical and non-clinical administrative tasks that support the efficient and safe...

Job Summary:***The Appeals Specialist is responsible for performing end to end tasks for technical appeals.**Responsibilities**:- Triage incoming inventory for the Appeals team, validating appeal criteria is met- Compose technical denial arguments for reconsideration, including both written and telephonically- Identify contract protection that can be...

Job Summary:***The Appeals Specialist is responsible for performing end to end tasks for technical appeals.**Responsibilities**:- Triage incoming inventory for the Appeals team, validating appeal criteria is met- Compose technical denial arguments for reconsideration, including both written and telephonically- Identify contract protection that can be...

Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an appeals non-clinical collector for one of the leading...

**Work mode**:**Onsite Location(s)**:Heredia, H, CR**Additional Locations**: N/A**Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance**- At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and...

Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an appeals underpayment collector for one of the leading...

Job Summary: The Prebill Denials Analyst will review post discharge, prebill accounts that do not have an authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that do not require a clinical review. Communicates with third party payors to resolve...

Job Summary:The Healthcare Specialist will review post discharge, prebill accounts that do not have an authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that do not require a clinical review.Communicates with third party payors to resolve...

Job Summary:The Health Care Specialist will review post-discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that does not require a clinical review.Communicates with third-party payors to resolve...

Job Summary: You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually. In your role you will review post discharge, prebill...

Job Summary:The Jr Health Care Specialist will review post-discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that does not require a clinical review.Communicates with third-party payors to resolve...

Job Summary: The CS Supervisor will provide professional business and customer service support, both individually and as part of a project team, with a focus on assisting Auxis customer service clients to ensure high levels of customer satisfaction and productivity.The person will provide support, direction, monitoring, and coaching to the assigned team in...