Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsRockville, Maryland, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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

serp_jobs.job_alerts.create_a_job

Rn Clinical • Rockville, Maryland, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

Kolmac ClinicFrederick, MD, US
serp_jobs.job_card.full_time
Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment provider in the Mid-Atlantic region. We are committed to treating individuals whose lives have be...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Offsite Medical Secretary II-MSW-FT Days

Offsite Medical Secretary II-MSW-FT Days

Mount Sinai HospitalWashington, DC, US
serp_jobs.job_card.full_time
The Offsite Medical Secretary II provides secretarial support to the supervising physician in an offsite practice setting. Responsibilities include telephones, reception, patient scheduling, obtain ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Peer Review Specialist

RN Peer Review Specialist

Sanford HealthBenedict, US
serp_jobs.job_card.full_time +1
Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Inpatient Facility Claim Follow-Up Representative

Inpatient Facility Claim Follow-Up Representative

Insight GlobalBaltimore, MD, US
serp_jobs.job_card.full_time
High school diploma or equivalent.Experience with insurance claims follow-up & appeals handling.COB issues, coding issues, misinterpretation of contract issues, etc.Strong experience worki...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Insurance Authorization Specialist

Insurance Authorization Specialist

VSIReston, VA, US
serp_jobs.job_card.full_time
VSI (formerly the Virginia Spine Institute), the leading multidisciplinary spinal healthcare practice in the Washington D. Insurance Authorization Specialist to join our team.This role is responsibl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Patient Services Rep I

Patient Services Rep I

SavistaGreenbelt, MD, US
serp_jobs.job_card.full_time
Patient Services Representative.Here at Savista, we enable our clients to navigate the biggest challenges in healthcare : quality clinical care with positive patient experiences and optimal financia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Access Representative

Patient Access Representative

Sentara HealthcareWoodbridge, VA, US
serp_jobs.job_card.full_time
Sentara Northern Virginia Medical Center is hiring Patient Access Representatives.Full time day and night shift schedules available. The Patient Access Rep is responsible for all aspects of the pati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Claims Examiner

Medical Claims Examiner

NTT DATAFalls Church, VA, US
serp_jobs.job_card.full_time
At NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, and commitment of our employees have been key factors in our company's growth and market prese...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Coordinator

Patient Access Coordinator

OrthoVirginiaHerndon, VA, US
serp_jobs.job_card.full_time
OrthoVirginia, Virginia's largest provider of expert orthopedic and therapy care, is currently seeking a full-time, experienced Patient Access Coordinator to join our team! Along with a collaborati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Coder (Reston)

Medical Coder (Reston)

KMM Technologies, Inc.Reston, VA, US
serp_jobs.job_card.part_time
Position Name : Quality Assurance III (Medical Coder).City & State : Reston, Virginia.Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Claims Reviewer, 6 Month Contract

Medical Claims Reviewer, 6 Month Contract

Broadway VenturesBaltimore, MD, US
serp_jobs.job_card.temporary
As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

Family Medical and Counseling ServiceWashington, DC, US
serp_jobs.job_card.full_time
Family and Medical Counseling Service is seeking a Patient Access Specialist to join our amazing team!.Under the supervision of the Patient Access Coordinator, the Patient Access Specialist will an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Offsite Senior Medical Secretary-MSW-FT Days

Offsite Senior Medical Secretary-MSW-FT Days

Mount Sinai HospitalWashington, DC, US
serp_jobs.job_card.full_time
serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Specialist 2

Patient Access Specialist 2

Enterprise Mangement Solutions IncBaltimore, MD, US
serp_jobs.job_card.full_time
ABOUT FREEDOM HEALTH SYSTEMS, INC.We specialize in guiding providers through program development, accreditation, compliance, and clinical best. While we do not provide direct healthcare services, Fr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Services - Rep, Provider Relations I Rep, Provider Relations I

Health Services - Rep, Provider Relations I Rep, Provider Relations I

StaffingBaltimore, MD, US
serp_jobs.job_card.full_time
Provider Network Contracting Representative.Performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives.Responsible for responding...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Registrar, Monday & Thursday, Cardiac Associates

Patient Access Registrar, Monday & Thursday, Cardiac Associates

Adventist HealthCareGermantown, MD, US
serp_jobs.job_card.full_time
Adventist Healthcare seeks to hire an experienced Patient Access Registrar for our Cardiac Associates office in Germantown, MD who will embrace our mission to extend God's care through the ministry...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Coder

Medical Coder

KMM Technologies, Inc.Reston, VA, United States
serp_jobs.job_card.full_time
Position Name : Quality Assurance III (Medical Coder).City & State : Reston, Virginia.Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Reviewer

Medical Reviewer

Vega Consulting Solutions, IncBaltimore, MD, United States
serp_jobs.job_card.full_time
We are seeking a detail-oriented and knowledgeable Medical Reviewer to join our dynamic healthcare team.The ideal candidate will possess a strong background in clinical / Office or medical specialtie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Reviewer (Baltimore)

Medical Reviewer (Baltimore)

Vega Consulting Solutions, IncBaltimore, MD, US
serp_jobs.job_card.part_time
We are seeking a detail-oriented and knowledgeable Medical Reviewer to join our dynamic healthcare team.The ideal candidate will possess a strong background in clinical / Office or medical specialtie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Processor

Claims Processor

AmpcusFairfax, VA, US
serp_jobs.job_card.full_time
Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented team.Job Title : Claims Processor Location : Fairfax, VA Job Description : Under direc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30