Clinical Denials and Appeals Nurse

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed. Responsibilities :Perform advanced level work related to clinical denial and utilization...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities :Perform advanced level work related to clinical denial and utilization...

Medical Coder Role OverviewThe Medical Coder will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for an automated claims editing solution. This solution is utilized by medical insurance payers across the United States.The...

Medical CoderWe are seeking a highly skilled medical professional to fill this role.Key Responsibilities:Conduct research and identify relevant medical documents to inform our claims editing solution.Provide written and oral presentations to subject matter experts to obtain consensus on proposed criteria.Offer clinical content support to our clients as...

We are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse. You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...

e are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse.You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...

e are seeking a detail oriented and experienced Registered Nurse (RN) to join our TEAM as a Virtual Utilization Review Nurse.You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case managers, and...

About this roleThis Clinical Nurse Case Manager position involves working with patients to ensure they receive the best possible care in a cost-effective manner. The successful candidate will be responsible for conducting medical management reviews and collaborating with clinical reviewers and medical directors to provide high-quality, medically appropriate...

This is an exciting opportunity to join our team as a skilled healthcare professional in the field of medical billing and accounts receivable.We are seeking a highly organized and detail-oriented individual with excellent communication skills to manage the billing and collection processes for skilled nursing facilities.Responsibilities:Billing Management:...

Job DescriptionThe Clinical Support Specialist will work closely with the Director of Nursing to oversee clinical operations for home care services. They will be responsible for providing direct support and ensuring seamless communication between nurses, patients, families, and providers.Key Responsibilities:Clinical & Administrative SupportReview and...