Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsShreveport, Louisiana, 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 • Shreveport, Louisiana, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medical Reviewer Contractor

Medical Reviewer Contractor

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Reviewer / Safety Reviewer III.Key Responsibilities Provide medical oversight for scientific review and approval of promotional and medical materials Collaborate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Certified Coder Physician

Certified Coder Physician

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Coder Physician.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Outpatient Medical Coder

Certified Outpatient Medical Coder

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Certified Outpatient Medical Coder, Professional Billing.Key Responsibilities Reviews medical records to assign appropriate diagnostic and procedural codes Assigns cha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
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 I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Massachusetts Licensed Patient Engagement Specialist

Massachusetts Licensed Patient Engagement Specialist

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Engagement Specialist with a MA Pharmacy License.Key Responsibilities : Proactively coordinate medication refills and adjudicate pharmacy claims Make outbound p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Screening Specialist

Patient Screening Specialist

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Screening Specialist to efficiently screen, schedule, and guide patients through the clinical trial process. Key Responsibilities Conduct phone screenings to ass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medicare Eligibility Representative

Medicare Eligibility Representative

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Nurse Auditor, HEDIS who will conduct clinical quality audits and improve quality within the healthcare network. Key Responsibilities Conduct clinical quality a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Coder - IL

Certified Medical Coder - IL

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Dir-Clinic Operations

Dir-Clinic Operations

OchsnerShreveport, LA, US
serp_jobs.job_card.full_time
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Patient Intake Coordinator

Patient Intake Coordinator

Jeter Therapy GroupShreveport, Louisiana, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
We are seeking an experienced Intake Coordinator to join our team.The ideal candidate will have a medical background and be able to provide accurate and efficient data entry as well as attention to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Question Writer

Medical Question Writer

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Bite Question Writer (USMLE Step 1 & Step 2).Key Responsibilities Produce high-yield recall questions and explanations based on medical science subjects Collab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Telemedicine Physician

Telemedicine Physician

QuickMDGreenwood, LA, US
serp_jobs.job_card.full_time
QuickMD 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 trea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Health Claims Examiner

Health Claims Examiner

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsShreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day