Clinical Appeals Nurse Specialist

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...

**Job Overview:**The Clinical Appeals Specialist plays a crucial role in handling complex appeals that require clinical input and interpretation. This position is responsible for composing compelling appeal letters to send to payers, ensuring thorough medical summaries are presented within each appeal.Main Responsibilities:Compose clinical appeal letters...

**About Auxis and the Role:**Auxis is seeking a skilled Clinical Appeals Specialist to join their team. As a key member of the organization, this individual will be responsible for handling appeals requiring clinical input or interpretation.Key Responsibilities:Compose appeal letters to payers using various sources of informationPresentation of clear and...

**Clinical Appeals Nurse Role at Auxis:**We are looking for a dedicated and detail-oriented Clinical Appeals Nurse to handle complex appeals requiring clinical input and interpretation. As a key member of our team, you will be responsible for composing compelling appeal letters and presenting concise medical summaries within each appeal.Main...

Job DescriptionThe Appeals Specialist is responsible for performing end-to-end tasks for technical appeals. This involves triaging incoming inventory, validating appeal criteria, and composing technical denial arguments for reconsideration.The ideal candidate will have excellent communication skills, both written and verbal, and be able to work effectively...

Role SummaryWe are seeking a skilled Appeals Specialist to join our team in the Healthcare industry. As an Appeals Specialist, you will play a critical role in monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.Key Accountabilities:Monitor contractual allowances and...

Join a Diverse Health Services Group in the Cruise IndustryWe are seeking over 50 nurses to provide quality healthcare to our guests and crew while they sail the world. This is an exciting opportunity to be part of a dynamic team and create lasting memories.Nurse Responsibilities:Perform various technical and non-clinical administrative tasks that support...

**Responsibilities**The Appeals Specialist will be responsible for triaging incoming inventory, validating appeal criteria, and composing technical denial arguments for reconsideration.The ideal candidate will also identify contract protection that can be leveraged to overturn denials, overcome objections, and gain commitment for payment through concise 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 non-clinical collector for one of the leading...

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 OverviewAuxis is seeking a highly motivated Appeals and Reimbursement Specialist to join our team. As an Appeals and Reimbursement Specialist, you will play a critical role in ensuring timely reimbursement to healthcare providers while maintaining fairness for patients.About the RoleIn this position, you will be responsible for monitoring the claims...

**Job Summary**You will be working for a leading business process outsourcing provider to support one of their largest accounts in the healthcare industry. This provider serves numerous hospitals and physician practices with millions of patient encounters annually.As an appeals underpayment collector, you will monitor the claims process to ensure timely...

Bayer is changing the way we work to achieve higher productivity, faster innovation, and better results through our Dynamic Shared Ownership (DSO) approach.As a Clinical Operations Specialist, you will be responsible for executing study start-up activities in collaboration with local teams. This includes ensuring local translations are completed, compiling...

ResponsibilitiesTriage incoming inventory for the Appeals team, validating appeal criteria is metCompose technical denial arguments for reconsideration, including both written and telephonicallyIdentify contract protection that can be leveraged to overturn denials.Overcome objections that prevent payment of the claim and gain commitment for payment through...

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...

About AligntechAligntech is a global leader in the development of innovative technology, tools and treatment options to help dental professionals worldwide achieve clinical results.We believe that every smile is unique and we strive to create beautiful smiles through the integration of AI and machine learning, digital imaging and visualization, biomechanics...

Job SummaryThe Healthcare Claims Specialist plays a crucial role in ensuring accurate and timely reimbursement for healthcare services. As a key member of our team, you will be responsible for monitoring contractual allowances, analyzing appeal opportunities with payers and networks, and reporting appeals performance.Duties and ResponsibilitiesImplement...

Job SummaryWe're seeking a skilled Dental Care Specialist to join our team at Aligntech. As a key member of our clinical support team, you'll provide expert guidance and assistance to treatment designers, ensuring high-quality results and excellent patient care.This role requires strong clinical knowledge, excellent communication skills, and the ability to...

Job Overview:Auxis is a fast-growing business process outsourcing provider seeking highly motivated individuals to support one of our largest accounts, a leading healthcare services provider. This esteemed organization serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.Responsibilities:Triage incoming claims...

**Job Overview**Auxis is a fast-growing business process outsourcing provider that serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.We are seeking an Appeals Specialist to join our team, who will be working on behalf of one of our largest accounts, a leading healthcare services provider.The successful...