Clinical Appeal Specialist

Job Title: Clinical Appeals SpecialistWe are seeking a skilled and experienced clinical appeals specialist to join our team in a virtual process role. This position requires the ability to review patients' medical charts and determine the necessary level of care.Key Responsibilities:Review patients' medical charts and lab work-ups to determine if hospital...

Job OverviewWe are seeking a skilled Clinical Appeals Nurse to assess patients' medical charts and determine the most suitable level of care.Key Responsibilities:Review patients' medical records, lab results, and medical chartsDetermine whether patients require hospital admission, observation, or no hospital care at allRequirements:At least two years'...

Job OpportunityThis is a challenging and rewarding experience for a Clinical Appeals Nurse to work in a remote opportunity.Job ResponsibilitiesReviews patients' medical charts, medical records/lab work ups to determine if hospital admission or observation is required.Evaluates medical information to make informed decisions about patient care.The ideal...

Clinical Appeals RN (Registered Nurse) – PHRN (NON-VOICE)Pay: ₱46,600.00 – ₱56,600.00 per monthStart Date: SeptemberWork Locations: Makati City and Taguig CityWhy Join Us?Be part of our company and achieve your life's best work. We offer competitive pay, excellent benefits, and long-term career opportunities in a supportive work...

ECLARO Quezon City, National Capital Region, Philippines PHRN Clinical Specialist ECLARO Quezon City, National Capital Region, Philippines 6 days ago Be among the first 25 applicants Work Setup: Onsite at Bridgetowne, Quezon City Schedule: Shifting Schedule Required Qualifications: - An active Philippine Registered Nurse (PHRN) license is required. - At...

Job OverviewThe Clinical Appeals Nurse role involves medical chart review to determine the appropriate level of care for patients.ResponsibilitiesReview medical records and lab results to determine hospital admission, observation, or no hospital care is required.Key Requirements:2-4 years of experience in adult Medical-Surgical and General Ward...

Clinical Appeals Nurse OpportunityJob DescriptionWe seek a skilled Clinical Appeals Nurse to review medical charts and records, determining appropriate care for patients. This role involves thorough analysis and decision-making to ensure accurate assessments.Required Skills & QualificationsAt least 2 years of experience in adult Medical Surgical...

Job SummaryClinical Appeals Nurses play a vital role in reviewing patients' medical charts and records to determine the level of care required. This position involves working independently, making informed decisions, and collaborating with healthcare professionals.Key ResponsibilitiesReview patients' medical charts and lab results to determine admission or...

Job Title: Healthcare Content SpecialistAbout the RoleThis is a highly specialized role that involves conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. This solution is utilized by medical insurance...

Hiring Position: PHRN Clinical AppealsWe offer:Up to 56k Salary PackagePure Non-voice accountNight DifferentialHybrid; US Holidaysother Perks & BenefitsQualifications:Active PHRN license with 2-3 years clinical exp-bed side, critical care in Tertiary Hospital (ICU, CCU, Telemetry, Cardiovascular ICU, Medical ICU, ER, MS)WILL ASSIST YOU THROUGHOUT HIRING...