RN Clinical Appeals Reviewer
VirtualVocationsBridgeport, Connecticut, United States30+ 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 • Bridgeport, Connecticut, United States
Related jobs
The purpose of the position is the collection of patient demographics and insurance information by registering the patient for medical treatment.
Create a positive first impression while greeting pa...Show moreLast updated: 30+ days ago
Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right for...Show moreLast updated: 5 days ago
Facilitates patient flow through the system from scheduling through registration check in so that patients have a "one touch" registration / scheduling experience.
Responsible for obtaining demographi...Show moreLast updated: 30+ days ago
Come join the Patient Access team at Saint Mary's Hospital, part of Trinity Health Of New England!.The Patient Access Representative is responsible for pre-registration, registration and admission ...Show moreLast updated: 30+ days ago
Medical Records Technician Job Duties : Maintains medical records operations by following policies and procedures; ...Show moreLast updated: 30+ days ago
Mercy Health is seeking a Physician Assistant to join Mercy Urgent Care-.Western Hills, Finneytown, Colerain).Bridgewater, Fairfield JJ, Hamilton).
EPIC EMR that is used throughout our system.Employ...Show moreLast updated: 30+ days ago
We are looking for a dedicated Medical Customer Service Representative to join our team in New Milford, Connecticut.This is a long-term contract position requiring exceptional communication skills ...Show moreLast updated: 12 days ago
Griffin Health is seeking a detail-oriented and compassionate.This role is responsible for completing registration and pre-registration for patients in both the Outpatient and Emergency Room settin...Show moreLast updated: 30+ days ago
Update Coming to the Teladoc Health Careers page URL.As part of a system transition on October 11-12, 2025, current job posting links will no longer be accessible.
To continue viewing this job or ot...Show moreLast updated: 30+ days ago
Under the direction of the Director, Patient Relations Center, the Patient Relations Associate (PRA) provides friendly, accurate, and efficient telephone customer service, and schedules appointment...Show moreLast updated: 30+ days ago
Duration : 2 Months (EXT Possible).Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.Contribute to collabor...Show moreLast updated: 1 day ago
Registered Nurse MDS Assessor - New York, NY (#3191).Greenlife Healthcare Staffing is seeking an experienced.Skilled Nursing Facility in New York, NY.
This role involves conducting comprehensive pat...Show moreLast updated: 8 days ago
Leads and guides other Representatives in performance of their duties.Assists with reviewing benefits, validating authorizations, and communicating authorization statuses with physician offices.Co...Show moreLast updated: 30+ days ago The Patient Access Representative is responsible for pre-registration, registration, and admission functions in the Emergency Department at Saint Mary's Hospital.
Register patients in the Emergency ...Show moreLast updated: 30+ days ago 
REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show moreLast updated: 30+ days ago
Location : Yorktown Heights, New York.Patient Registrar - Pulmonary - NewYork Presbyterian Hospital / Hudson Valley Medical Group - Yorktown Heights, NY.
NewYork-Presbyterian Medical Groups (NYPMG) are...Show moreLast updated: 16 days ago
Join our team as a Nursing Scheduler at.Newington, CT! In this vital role, you'll coordinate and maintain nursing schedules to ensure proper coverage and compliance with staffing regulations.Yo...Show moreLast updated: 2 days ago Job Description Per Diem (On Call).Performs a complete verification check on all health insurance coverage.Obtains all financial demogra...Show moreLast updated: 30+ days ago Assists in performing a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and outpatient access to medical services.
Assists in performing pre-re...Show moreLast updated: 30+ days ago 
We are seeking a highly organized and compassionate Patient Intake Coordinator to join our clinical team.As the first point of contact for.
This position requires excellent communication skills, att...Show moreLast updated: 2 days ago
Patient Access Liaison
Westchester Medical CenterValhalla, New York, United States, 10595Full-time
- Promoted
Medical Records Specialist I - Hybrid - East Setauket, NY
DatavantEast Setauket, NY, USFull-time
Patient Access Liaison 1
Nuvance HealthDanbury, CT, USFull-time
- Promoted
ED Patient Access Representative - per diem
Trinity HealthWaterbury, CT, USFull-time
- Promoted
Medical Records Technician
TradeJobsWorkForce10709 Eastchester, NY, USFull-time
- Promoted
Urgent Care Practitioner (PA) Milford, OH
Bon Secours Mercy HealthMilford, USFull-time
- Promoted
Medical Customer Service Representative
Robert HalfNew Milford, CT, USTemporary
- Promoted
Patient Access Specialist
Griffin HospitalDerby, CT, USFull-time
- Promoted
Clinical Data Scientist III
Teladoc HealthPurchase, NY, United StatesFull-time
- Promoted
Patient Relations Associate
Planned Parenthood Hudson PeconicSmithtown, NY, USFull-time
- Promoted
Claim Examiner-New Haven, CT
StaffingNew Haven, CT, USFull-time
Registered Nurse MDS Assessor
Greenlife Healthcare StaffingHuntington Station, New York, United StatesFull-time
Quick Apply
- Promoted
Lead Patient Access Services Representative
Northwell HealthPort Jefferson, NY, United StatesFull-time
- Promoted
ED Patient Access Representative - 32 hr eves
Trinity HealthWaterbury, CT, USFull-time
- Promoted
Medical Billing
TradeJobsWorkforce06878 Riverside, CT, USFull-time
- Promoted
Patient Registrar - Pulmonary - NewYork Presbyterian Hospital / Hudson Valley Medical Group - Yorktown Heights, NY
New York-Presbyterian HospitalYorktown Heights, NY, USFull-time
- Promoted
Nursing Scheduler
Bel-Air Manor Nursing and Rehabilitation CenterBurlington, CT, USFull-time
- Promoted
Patient Access Services Representative
Northwell HealthPort Jefferson, NY, United StatesFull-time
- Promoted
Associate Patient Access Services Representative
Northwell HealthPort Jefferson, NY, United StatesFull-time
- Promoted
Patient Intake Coordinator
TEKsystemsNew Haven, CT, USFull-time