Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsNew Orleans, Louisiana, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for an IBR Clinical Appeals Reviewer - Remote.

Key Responsibilities

Analyze and respond to IBR Appeals inquiries

Perform medical record reviews and prepare written appeals

Collaborate with auditors and leadership to review impacted claims

Required Qualifications

Undergraduate nursing degree

Unrestricted RN (registered nurse) license

2+ years of appeals experience (coding or auditing)

Experience with CPT-4 and ICD10 CM / PCS coding

Advanced knowledge of regulations and compliance in appeals

Create a job alert for this search

Rn Clinical • New Orleans, Louisiana, United States

Related jobs
  • Promoted
  • New!
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...Show moreLast updated: 1 hour ago
  • Promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...Show moreLast updated: 1 day ago
  • Promoted
Patient Screening Specialist

Patient Screening Specialist

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Patient Screening Specialist to efficiently screen, schedule, and guide patients through the clinical trial process. Key Responsibilities Conduct phone screenings to ass...Show moreLast updated: 1 day ago
  • Promoted
Patient Access Rep - Money Hill

Patient Access Rep - Money Hill

St. Tammany Health SystemCovington, LA, US
Full-time
Tammany Health System, delivering world-class healthcare close to home is our goal.That means we are committed to attracting and retaining the very best professionals for every position in our heal...Show moreLast updated: 10 days ago
  • Promoted
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsNew Orleans, Louisiana, United States
Remote
Full-time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...Show moreLast updated: 1 day ago
  • Promoted
Health Information Specialist I

Health Information Specialist I

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...Show moreLast updated: 1 day ago
  • Promoted
Medicare Eligibility Representative

Medicare Eligibility Representative

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Radiation Oncology Coder Remote.Key Responsibilities Review accounts for accuracy using the charge capture audit system in compliance with guidelines Compare medical r...Show moreLast updated: 11 hours ago
  • Promoted
Patient Access Rep - Slidell Memorial East Hospital Emergency Department - Full-Time - 12 Hour - Day

Patient Access Rep - Slidell Memorial East Hospital Emergency Department - Full-Time - 12 Hour - Day

Ochsner Health SystemSlidell, LA, US
Full-time +1
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award ...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Clinical Administrative Coordinator

Clinical Administrative Coordinator

UnitedHealth GroupMetairie, LA, US
Full-time
This position is Remote in Louisiana.If you are located within commutable distance to the office at LA013 - LA013 - METAIRIE-3838 N CAUSEWAY BLVD, you will have the flexibility to work remotely • as...Show moreLast updated: 15 hours ago
  • Promoted
  • New!
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
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 billin...Show moreLast updated: 15 hours ago
  • Promoted
Certified Outpatient Medical Coder

Certified Outpatient Medical Coder

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Certified Outpatient Medical Coder, Professional Billing.Key Responsibilities Reviews medical records to assign appropriate diagnostic and procedural codes Assigns cha...Show moreLast updated: 30+ days ago
  • Promoted
Patient Access Rep - Slidell Memorial Main Hospital Emergency Department Registration - PRN / SSP - 12

Patient Access Rep - Slidell Memorial Main Hospital Emergency Department Registration - PRN / SSP - 12

Ochsner Health SystemSlidell, LA, US
Permanent
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award ...Show moreLast updated: 1 day ago
  • Promoted
Patient Access Rep - STPN Mandeville

Patient Access Rep - STPN Mandeville

St. Tammany Health SystemMandeville, LA, US
Full-time
Tammany Health System, delivering world-class healthcare close to home is our goal.That means we are committed to attracting and retaining the very best professionals for every position in our heal...Show moreLast updated: 6 days ago
  • Promoted
Patient Access Rep Per Diem

Patient Access Rep Per Diem

St. Tammany Health SystemMandeville, LA, US
Full-time
Tammany Health System, delivering world-class healthcare close to home is our goal.That means we are committed to attracting and retaining the very best professionals for every position in our heal...Show moreLast updated: 30+ days ago
  • Promoted
Alabama Licensed Medical Reviewer

Alabama Licensed Medical Reviewer

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.Key Responsibilities Conducts medical claim reviews and determines medical necessity based on ...Show moreLast updated: 3 days ago
  • Promoted
Patient Access Rep

Patient Access Rep

OchsnerWestwego, LA, US
Permanent
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every ...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsNew Orleans, Louisiana, United States
Full-time
A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...Show moreLast updated: 11 hours ago