Nurse Appeal Coordinator

hace 3 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

**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:

  1. Compose appeal letters to payers using various sources of information
  2. Presentation of clear and concise medical summaries within each appeal
  3. Interpretation of medical payer policy requirements and demonstration of Medical Necessity software expertise
  4. Research and analysis of evidence-based practices to support appeals
  5. Collaboration with internal and external parties to gather necessary information

Requirements:

  • Nursing degree or equivalent experience
  • Experience in hospital settings or related fields
  • Proficiency in office software and CPR certifications
  • Strong communication skills and B2-level English proficiency

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