Talent.com
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsManchester, New Hampshire, United States
job_description.job_card.1_day_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 who will analyze and respond to client and hospital claim review appeal inquiries.

Key Responsibilities :

Analyze scope and resolution of IBR Appeals and respond to various levels of appeals

Perform complex analyses, identify risk factors, and recommend appropriate actions based on regulations and medical policies

Collaborate with auditors and prepare written appeals while navigating web-based portals and online tools

Required Qualifications :

Undergraduate nursing degree

Unrestricted RN (registered nurse) license

2+ years of appeals experience (coding or auditing)

Experience with CPT-4 coding and advanced knowledge of ICD10 CM and ICD 10 PCS coding

Advanced experience with regulations, compliance, and composing professional appeal responses

serp_jobs.job_alerts.create_a_job

Clinical Reviewer Rn • Manchester, New Hampshire, United States

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

Part Time Patient Access Specialist

Robert HalfSalem, IN, US
serp_jobs.job_card.part_time
Are you passionate about helping others and making a difference in the healthcare experience? We’re hiring two.Part-Time Patient Access Specialists. If you thrive on providing excellent custom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Records technician

Medical Records technician

TradeJobsWorkForce03868 Rochester, NH, US
serp_jobs.job_card.full_time
Organize and manage patients' health information data.Ensure paperwork is properly filled out.Verify accuracy and accessibility of files. Communicate with physicians and other healthcare professiona...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative II - PRN

Patient Access Representative II - PRN

Tenet HealthcareConcord, NH, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing any extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Remove all emojis, sp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Rep 24 hour - 11AM-7 : 30PM

Patient Access Rep 24 hour - 11AM-7 : 30PM

Beth Israel Lahey HealthBeverly, MA, US
serp_jobs.job_card.full_time
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Patient Access Representative in the Emergency Department. Every other weekend and hol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Intake Coordinator

Intake Coordinator

New England Life CareConcord, NH, US
serp_jobs.job_card.full_time
New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region’s only non-profit home infusion provider.NELC is a hospital collabo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative M-F 40 HRs

Patient Access Representative M-F 40 HRs

Beth Israel Lahey HealthDanvers, MA, US
serp_jobs.job_card.full_time
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.This is a full-time position supporting the pain center clinic.Hours are Mon, Wed, Th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Prosthetic Verification and Authorization Specialist

Prosthetic Verification and Authorization Specialist

CBS Medical Billing & Consulting LLCExeter, NH, US
serp_jobs.job_card.full_time
Are you ready to take your career to the next level in a fast-paced, dynamic company? Were looking for a detail-oriented insurance verification and authorization specialist to join our growing team...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Patient Relations Liaison

Patient Relations Liaison

HealthcareSource Medical CenterHampstead, New Hampshire, United States, 03841
serp_jobs.job_card.full_time
This role will be responsible for event planning, coordination and logistics for Panorama Orthopedics and Spine Center, including, but not limited to : educational seminars, charity golf tournaments...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative II - Manchester Clinics

Patient Access Representative II - Manchester Clinics

Tenet HealthcareManchester, NH, US
serp_jobs.job_card.full_time
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.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative 40 Hours

Patient Access Representative 40 Hours

Beth Israel Lahey HealthBurlington, MA, US
serp_jobs.job_card.full_time
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Working in Patient Access and as a member of the Beth Israel Lahey Health (BILH) Syst...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Patient Relations Liaison

Patient Relations Liaison

HealthcareSource Medical Center (Services admin-only migration)Danville, New Hampshire, United States, 03819
serp_jobs.job_card.full_time
The patient relations liaison manages concerns and grievances from patients, their families, and other health care consumers. Intervenes in crisis situations and negotiates resolutions between confl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Practice Coordinator

Practice Coordinator

New Hampshire Oncology - Hematology, PAConcord, NH, US
serp_jobs.job_card.full_time
Full-time (40 hrs / week) scheduling position available with regional medical oncology practice.We are looking for a caring and highly motivated medical office scheduler for our Concord location.This...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Practice Coordinator - Neurology - Full Time

Practice Coordinator - Neurology - Full Time

SolutionHealthManchester, NH, US
serp_jobs.job_card.full_time +1
Job Title : Practice Coordinator NE.Come work at the best place to give and receive care!.Working under the direct supervision of the Practice Manager and within the established policies and procedu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Specialist - Part-Time

Patient Access Specialist - Part-Time

Ensemble Health PartnersNashua, NH, US
serp_jobs.job_card.part_time
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.They offer end-to-end...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative II - Dartmouth Clinics

Patient Access Representative II - Dartmouth Clinics

Tenet HealthcareManchester, NH, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing all unnecessary metadata, navigation mentions, and extraneous details. The goal is to present a clean, beautiful, and high signal-to-noise ratio j...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Specialist - Part-time

Patient Access Specialist - Part-time

Ensemble Health PartnersNashua, NH, US
serp_jobs.job_card.part_time
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.They offer end-to-end...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative

Patient Access Representative

Salem Hospital NSMCLee, NH, US
serp_jobs.job_card.full_time
HOURS - LEE OFFICE - EXCELLENT BENEFITS! Responsible for ensuring a smooth and efficient patient check-in and discharge process by providing excellent customer service, collecting patient informati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Southern NH Health - Admissions Registrar - Per diem

Southern NH Health - Admissions Registrar - Per diem

SolutionHealthNashua, NH, US
serp_jobs.job_card.full_time +1
Patient Registration Specialist.Come work at the best place to give and receive care!.Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Records & Intake Representative

Patient Records & Intake Representative

MFM HealthDanvers, MA, US
serp_jobs.job_card.full_time
Patient Records & Intake Representative.MFM Health, a growing and innovative private medical practice, is seeking a detail-oriented and patient-focused Patient Records & Intake Representative to jo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Records Technician

Medical Records Technician

TradeJobsWorkForce03866 Rochester, NH, US
serp_jobs.job_card.full_time
Medical Records Technician Job Duties : Maintains medical records operations by following policies and procedures; ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30