Pennsylvania Licensed Clinical Appeals Reviewer
VirtualVocationsHuntsville, Alabama, United States1 day ago
Job type
- Full-time
Job description
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
Create a job alert for this search
Clinical Reviewer • Huntsville, Alabama, United States
Related jobs
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.Show moreLast updated: 30+ days ago
Patient Registration Coordinator.Requisition Number : PATIE002597.Location : 4040 Independence Drive NW, Huntsville, AL 35816, USA.
We are a team that is focused on patient care and quality.Behavioral...Show moreLast updated: 30+ days ago
Registration Specialist - Float Pool PRN.Provide excellent customer service.Data collection and accurate input into the clinic registration system.
Obtain signatures on all appropriate forms and iss...Show moreLast updated: 30+ days ago
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...Show moreLast updated: 1 day ago Collect and accurately input into the hospital registration system.Obtain signatures on all appropriate forms and issue all required notices to the patient or appropriate family member.Verify insur...Show moreLast updated: 30+ days ago 
The purpose of the Outside Recovery Associate is to facilitate efficient management of various projects in our outdoor merchandising area, with a core emphasis on assisting customers in loading the...Show moreLast updated: 5 days ago
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...Show moreLast updated: 5 days ago Identifies status on unpaid 3rd party claims in a timely manner.Uses most effective tools to obtain status so that effectiveness and productivity are maximized.
Communicates payment expectations and...Show moreLast updated: 30+ days ago Provide excellent customer service.Data collection and accurate input into the clinic registration system.Obtain signatures on all appropriate forms and issue all required notices to the patient or...Show moreLast updated: 30+ days ago 
The Business & Life Insurance Office Manager oversees the daily operations of the insurance agency with a dual focus on.This role ensures the office runs efficiently, sales targets are met, cli...Show moreLast updated: 13 days ago Collect and accurately input into the hospital registration system.Obtain signatures on all appropriate forms and issue all required notices to the patient or appropriate family member.Verify insur...Show moreLast updated: 30+ days ago Job Location : Cullman Regional Medical Center - Cullman, AL.Identifies status on unpaid 3rd party claims in a timely manner.
Uses most effective tools to obtain status so that effectiveness and prod...Show moreLast updated: 30+ days ago Identifies status on unpaid 3rd party claims in a timely manner.Uses most effective tools to obtain status so that effectiveness and productivity are maximized.
Communicates payment expectations and...Show moreLast updated: 30+ days ago 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...Show moreLast updated: 5 days ago 
Come join an exciting and innovative company that puts the “care” back in healthcare!.Why do Intake Representatives want to work here? The reason people love working for KabaFusion is b...Show moreLast updated: 8 days ago Night Shift Health Care Position.Collect and accurately input into the hospital registration system.Obtain signatures on all appropriate forms and issue all required notices to the patient or appro...Show moreLast updated: 30+ days ago The Outpatient Registrar is responsible for accurately registering patients for outpatient services, verifying insurance and demographic information, collecting payments, and ensuring all required ...Show moreLast updated: 5 days ago 
Quick MD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical tre...Show moreLast updated: 5 hours ago
Insurance & Membership Specialist.Be provided with the training you need on an array of AAA products and services to interface with members with confidence and help you meet your individual and tea...Show moreLast updated: 30+ days ago Focus on the core content of the job post, removing all extra metadata, navigation, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show moreLast updated: 11 days ago
- Promoted
OP Registrar
Community Health SystemsHuntsville, AL, USFull-time
- Promoted
Patient Registration Coordinator
Behavioral Health GroupHuntsville, AL, USFull-time
- Promoted
REGISTRATION SPECIALIST PT
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
Tax Filer - 2+ Yrs Paid Tax Experience Required
IntuitGurley, AL, United StatesFull-time
- Promoted
Patient Access Representative (10335)
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
Outside Recovery Associate
Rural KingAlbertville, AL, USFull-time
- Promoted
Border Patrol Agent
U.S. Customs and Border ProtectionArab, AL, USFull-time
- Promoted
INSURANCE SPECIALIST (10288)
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
REGISTRATION SPECIALIST - FT
Cullman Regional Medical CenterHartselle, AL, USFull-time
- Promoted
Business and Life Insurance Office Manager
Sady Zayas-Visser-Farmers Insurance AgencyArab, AL, USFull-time
- Promoted
Patient Access Representative (10242)
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
INSURANCE SPECIALIST
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
INSURANCE SPECIALIST (10322)
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
Border Patrol Agent - Experienced (GL9 / GS11)
U.S. Customs and Border ProtectionHolly Pond, AL, USFull-time
- Promoted
Intake Representative
KabaFusionHuntsville, AL, USFull-time
- Promoted
Patient Access Representative
Cullman Regional Medical CenterCullman, AL, USFull-time
- Promoted
OP Registrar - Days
Community Health SystemsHuntsville, AL, USFull-time
- Promoted
- New!
Telemedicine physician
QuickMDTrinity, AL, United StatesFull-time
- Promoted
Insurance & Membership Specialist
AAAHuntsville, AL, USFull-time
- Promoted
ER Registration Coordinator
Community Health SystemsHuntsville, AL, USFull-time