Talent.com
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsVirginia Beach, Virginia, United States
Hace 2 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

A company is looking for a Clinical Appeals Reviewer.

Key Responsibilities

Process appeals while ensuring compliance with regulatory milestones

Review medical records for documentation and billing code compliance

Engage with appellants, providers, and members to gather necessary information for case determination

Required Qualifications, Training, and Education

Bachelor's degree (BSN) required

3 or more years of experience in a related clinical setting

Current and unrestricted Registered Nurse (RN) licensure

Working knowledge of InterQual criteria preferred

Proficiency in utilizing Electronic Medical Records (EMRs) and MS Office

Crear una alerta de empleo para esta búsqueda

Clinical Reviewer • Virginia Beach, Virginia, United States

Ofertas relacionadas
  • Oferta promocionada
Case Reviewer

Case Reviewer

Clearance JobsVirginia Beach, VA, US
A tiempo completo
Reviewers for the Department of Homeland Security (DHS) Background Investigation's Program.Reviewers work with investigators to complete and submit background investigation interviews and record ch...Mostrar másÚltima actualización: hace 12 días
  • Oferta promocionada
Casualty Claim Specialist

Casualty Claim Specialist

ChubbChesapeake, VA, US
A tiempo completo
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Clinical Assessor

Clinical Assessor

GMA InterventionsVirginia Beach, VA, US
A tiempo completo
The Clinical Assessor is the first step in clinical care for clients seeking behavioral health service and is responsible for the professional and accurate completion of. Meet with the client in-per...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Licensed Therapist (LCSW, LPC, LMFT)

Licensed Therapist (LCSW, LPC, LMFT)

LifeStance HealthBena, VA, US
A tiempo completo
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Legal Billing Specialist

Legal Billing Specialist

McGuireWoods LLPNorfolk, VA, US
A tiempo completo
McGuireWoods LLP is searching for a Billing Specialist to join the team in our Norfolk, VA office.The Billing Specialist is responsible for managing client bills, including working with attorneys o...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Claims Technician - WAE

Claims Technician - WAE

Government JobsHampton, VA, US
A tiempo completo
The purpose of this class is to provide customer service to citizens and employees who contact the Department of Risk Management for assistance in the filing and handling of general, automotive, an...Mostrar másÚltima actualización: hace 15 días
  • Oferta promocionada
Clinical Assessor

Clinical Assessor

Life Consultants Inc.Chesapeake, VA, US
A tiempo completo
The Clinical Assessor is responsible for assessing potential clients to see if they are appropriate for services the organization renders. He / She will work closely with the Social Workers & othe...Mostrar másÚltima actualización: hace 13 días
  • Oferta promocionada
Full Time Clinical Assessor

Full Time Clinical Assessor

Milestone LLCPortsmouth, VA, US
A tiempo completo
This position requires the candidate to be fully licensed or currently under supervision of a licensed clinician (LCSW, LPC, or licensed psychologist). The Clinical assessor is responsible for condu...Mostrar másÚltima actualización: hace 1 día
  • Oferta promocionada
  • Nueva oferta
Workers' Compensation Claims Adjuster

Workers' Compensation Claims Adjuster

Argonaut Management Services, IncVirginia Beach, VA, United States
A tiempo completo
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Mostrar másÚltima actualización: hace 1 hora
  • Oferta promocionada
Asst Director Law Admissions, Recruitment Management

Asst Director Law Admissions, Recruitment Management

InsideHigherEdAll Cities, Virginia, United States
A tiempo completo
Position Summary : Please include a resume and cover letter to be considered.The Assistant Director of Admissions, Marketing serves as an essential member of the Law School and University team and ...Mostrar másÚltima actualización: hace 21 días
  • Oferta promocionada
Border Patrol Agent

Border Patrol Agent

U.S. Customs and Border ProtectionMathews, VA, US
A tiempo completo
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Mostrar másÚltima actualización: hace 6 días
  • Oferta promocionada
Neurology- Independent Medical Examiner (IME)

Neurology- Independent Medical Examiner (IME)

Dane Street, LLCChesapeake, VA, US
A tiempo completo
As Physician Reviewer / Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims.The Physician Reviewer...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Claims Specialist

Claims Specialist

CorVelVirginia Beach, VA, US
A tiempo completo
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...Mostrar másÚltima actualización: hace 18 días
  • Oferta promocionada
United States Border Patrol Agent

United States Border Patrol Agent

U.S. Customs and Border ProtectionCheriton, Virginia, US
A tiempo completo
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

U.S. Customs and Border ProtectionMathews, VA, United States
A tiempo completo
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Claims Representative - Auto

Claims Representative - Auto

SedgwickVirginia Beach, VA, US
A tiempo completo
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...Mostrar másÚltima actualización: hace 20 días
  • Oferta promocionada
Claims Specialist

Claims Specialist

CorVel Enterprise Claims, Inc.Virginia Beach, VA, US
A tiempo completo
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outco...Mostrar másÚltima actualización: hace 13 días
  • Oferta promocionada
Senior Auto Claims Adjuster

Senior Auto Claims Adjuster

USAAChesapeake, VA, US
A tiempo completo
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service, and trusted advice. We seek to be the #1 choice for the militar...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
  • Nueva oferta
Mental Health Therapist

Mental Health Therapist

Columbia Mental Health, Columbia Mental HealthCapeville, VA, US
A tiempo completo
Transformations Care Network (TCN), as we embark on an exciting journey to empower.We are committed to improving access to mental health care in our communities which means we are committed to bein...Mostrar másÚltima actualización: hace 2 horas
  • Oferta promocionada
Border Patrol Agent - Experienced (GL9 / GS11)

Border Patrol Agent - Experienced (GL9 / GS11)

U.S. Customs and Border ProtectionMathews, VA, US
A tiempo completo
Check out these higher-salaried federal law enforcement opportunities with the U.Your current or prior law enforcement experience may qualify you for this career opportunity with the nation's premi...Mostrar másÚltima actualización: hace 6 días