Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsMilwaukee, Wisconsin, United States
21 hours 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 • Milwaukee, Wisconsin, United States

Related jobs
  • Promoted
Medical Billing Clerk

Medical Billing Clerk

TradeJobsWorkforce53167 Rochester, WI, US
Full-time
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
  • Promoted
Patient Access Coordinator

Patient Access Coordinator

HangerWaukesha, WI, US
Full-time
With a mantra of Empowering Human Potential, Hanger, Inc.O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.Ha...Show moreLast updated: 4 days ago
  • Promoted
Clinic Service Rep - Forest Home

Clinic Service Rep - Forest Home

Children's WisconsinMilwaukee, WI, US
Full-time
At Children's Wisconsin, we believe kids deserve the best.Our pediatricians and primary care offices offer parents a level of care that cannot be obtained at other places : .Affiliation with the #4 c...Show moreLast updated: 30+ days ago
  • Promoted
Medical Billing Specialist / $20 an hour

Medical Billing Specialist / $20 an hour

All Medical AlliedMilwaukee, WI, US
Full-time
Our agency is currently hiring a Medical Billing Specialist for a client in Milwaukee.Medical Billing & A / R Specialist. Required Minimum Position Qualifications : .Medical Billing / Coding Certifica...Show moreLast updated: 30+ days ago
  • Promoted
Clinic Svc Rep

Clinic Svc Rep

Children's WisconsinMilwaukee, WI, US
Full-time
Children's Wisconsin Front Desk Team Member.At Children's Wisconsin, we believe kids deserve the best.Our pediatricians and primary care offices offer parents a level of care that cannot be obtaine...Show moreLast updated: 30+ days ago
Patient Access Specialist - Clinic

Patient Access Specialist - Clinic

Froedtert South, Inc.Pleasant Prairie, Wisconsin, United States, 53158
Full-time
Patient Access Specialist - Clinic.Patient Access Specialist Responsibilities : .A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for a...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Clinical Liaison (Milwaukee)

Clinical Liaison (Milwaukee)

ClearSky HealthMilwaukee, WI, US
Part-time
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses.We distinguish ourselves through our commitment to excellence, to our patient...Show moreLast updated: 9 hours ago
  • Promoted
Patient Access Representative

Patient Access Representative

Aya HealthcareKenosha, WI, US
Full-time
A Patient Access Specialist serves as the first point of contact for Froedtert South.The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage m...Show moreLast updated: 25 days ago
  • Promoted
Behavioral Health Liaison

Behavioral Health Liaison

Ozaukee CountyPort Washington, WI, US
Full-time +1
Work Schedule : 1 : 00 PM - 9 : 00 PM 4 days on, 2 days off with rotating weekends.The Behavioral Health Liaison (BHL) works with individuals who are seeking psychiatric service referrals for a variety ...Show moreLast updated: 7 days ago
  • Promoted
Medical Coder

Medical Coder

TradeJobsWorkForce53167 Rochester, WI, US
Full-time
Medical Coder Job Duties : Accounts for coding and abstracting of patient encounters, includ...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Medical Coder

Medical Coder

Pride HealthMilwaukee, WI, United States
Full-time
ICD diagnosis and procedure codes.Complex trauma and acutely ill patients.Assign DRGs, diagnosis, and procedure codes accurately. Abstract required information per facility guidelines.Independently ...Show moreLast updated: 4 hours ago
  • Promoted
Specialty Medical Bill Review Auditor

Specialty Medical Bill Review Auditor

Rising Medical SolutionsMilwaukee, WI, US
Full-time
Headquartered in Chicago, RISING Medical Solutions is a privately held, financial solutions organization offering medical cost containment and care management services. With offices, providers, and ...Show moreLast updated: 6 days ago
Patient Access Specialist

Patient Access Specialist

Froedtert South, Inc.Kenosha, Wisconsin, United States, 53143
Full-time
Patient Access Specialist Responsibilities : .A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient chec...Show moreLast updated: 12 days ago
  • Promoted
Customer Service Representative - Patient Registration

Customer Service Representative - Patient Registration

R1 RCMRacine, WI, US
Full-time
Customer Service Representative.Location : Ascension All Saints Hospital Spring Street.Shift Hours : PRN, Part-time, Flexible Shifts Required with Weekend and Holiday Availability.R1 is the leading p...Show moreLast updated: 30+ days ago
Aurora Health Care is hiring : Communication Operator in Milwaukee

Aurora Health Care is hiring : Communication Operator in Milwaukee

MediabistroMilwaukee, WI, United States
Part-time
Be among the first 25 applicants.Get AI-powered advice on this job and more exclusive features.Aurora Health Care provided pay range. This range is provided by Aurora Health Care.Your actual pay wil...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Authorization Representative

Insurance Authorization Representative

Beacon Hill Staffing GroupWest Allis, WI, US
Full-time
Position is fully ONSITE in West Allis, WI - please DO NOT apply if you cannot commute to West Allis 5 days a week .Contact insurance payors to obtain benefits, authorizations, and pre-certifi...Show moreLast updated: 30+ days ago
Med-Only Claims Specialist

Med-Only Claims Specialist

MRA Recruiting ServicesWauwatosa, WI, US
Full-time
Quick Apply
Cities & Villages Mutual Insurance Company Med-Only Claims Specialist Wauwatosa, WI Salary : .APPLY HERE Under the general supervision of the Worker’s Compensation Claims Manager, this posi...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Clinical Liaison

Clinical Liaison

ClearSky HealthMilwaukee, WI, United States
Full-time
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses.We distinguish ourselves through our commitment to excellence, to our patient...Show moreLast updated: 13 hours ago
  • Promoted
Patient Access Representative

Patient Access Representative

NovirMilwaukee, WI, US
Full-time
The Patient Access Representative (Registration Representative) supports the patient intake and billing processes by ensuring accurate and complete registration, referral management, insurance veri...Show moreLast updated: 30+ days ago
  • Promoted
Part Time Patient Access Registration Representative

Part Time Patient Access Registration Representative

UnitedHealth GroupWaukesha, WI, US
Full-time +1
Explore Opportunities With Optum.SIGN ON BONUS FOR EXTERNAL APPLICANTS.Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in healt...Show moreLast updated: 7 days ago