Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsFort Lauderdale, Florida, 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 • Fort Lauderdale, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Patient Access Representative 2 (On-Site) - Lennar

Patient Access Representative 2 (On-Site) - Lennar

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Utilization Review Coordinator

Utilization Review Coordinator

Arista RecoveryMiami, FL, US
serp_jobs.job_card.full_time
The primary responsibility of this position is to implement the organization’s Utilization Review (UR) process so as to ensure appropriate usage of available resources and to optimize reimbur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative 2 (On-Site) (H) - Lennar

Patient Access Representative 2 (On-Site) (H) - Lennar

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
Patient Access Representative 2.The University of Miami / UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 2 to work at our Lennar locat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Prior-Authorization Specialist Remote $17 / hr

Medical Prior-Authorization Specialist Remote $17 / hr

MediabistroHollywood, FL, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
RemX will never ask for any form of payment prior to or throughout the hiring process.If you have been asked for payment of any kind, please notify us right away. This is illegitimate and unlawful.R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative 1 (On-Site) (H)

Patient Access Representative 1 (On-Site) (H)

University of MiamiPompano Beach, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. The Patient Access department ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative 1 (On-Site) Deerfield Beach

Patient Access Representative 1 (On-Site) Deerfield Beach

University of MiamiDeerfield Beach, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. The University of Miami / UHealth ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative 2 (On-Site) - Full Time - Bascom Palmer Eye Institute - Lennar Bascom

Patient Access Representative 2 (On-Site) - Full Time - Bascom Palmer Eye Institute - Lennar Bascom

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.new
Inpatient Nurse Reviewer

Inpatient Nurse Reviewer

DOCTORS HEALTHCARE PLANS, INC.Coral Gables, FL, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.Uses a collabora...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Pre-Authorization Specialist

Pre-Authorization Specialist

Robert HalfHollywood, FL, US
serp_jobs.job_card.full_time
We are looking for a dedicated Pre-Authorization Specialist to join our team in Miramar, Florida.In this contract-to-hire position, you will play a key role in coordinating insurance authorizations...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative / UHealth SoL Mia

Patient Access Representative / UHealth SoL Mia

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative 3 (On-Site) (H)

Patient Access Representative 3 (On-Site) (H)

University of MiamiBoca Raton, FL, US
serp_jobs.job_card.full_time
Patient Access Representative 3.The University of Miami / UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 3 to work at our Boca Raton l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative 3 (On-Site)

Patient Access Representative 3 (On-Site)

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click.Workday to use the internal application process. To learn how to apply for a faculty or staff posit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Experienced Bilingual Medical Records Coordinator

Experienced Bilingual Medical Records Coordinator

PROMD PRACTICE MANAGEMENT INCMiami, FL, US
serp_jobs.job_card.full_time
Experienced Bilingual Medical Records Coordinator or Certified Medical Assistant.Location : Hialeah or South Miami (to be determined). South Florida Perinatal Medicine is a leading healthcare provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

Jupiter Medical CenterMiami, FL, US
serp_jobs.job_card.full_time
Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.Outstanding...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative- UHealth SoL Mia

Patient Access Representative- UHealth SoL Mia

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
PATIENT ACCESS REGISTRAR

PATIENT ACCESS REGISTRAR

Universal Health ServicesFort Lauderdale, FL, US
serp_jobs.job_card.full_time
Fort Lauderdale Behavioral Health, a subsidiary of UHS, is a 182-bed treatment facility, conveniently located in beautiful Fort Lauderdale, FL that specializes in the successful treatment of substa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Specialist (On-Site)

Patient Access Specialist (On-Site)

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click.Workday to use the internal application process. To learn how to apply for a faculty or staff posit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Specialist (On-Site) (H)

Patient Access Specialist (On-Site) (H)

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Orthopedic Surgery- Independent Medical Examiner (IME)- Fort Lauderdale

Orthopedic Surgery- Independent Medical Examiner (IME)- Fort Lauderdale

Dane Street, LLCFort Lauderdale, FL, US
serp_jobs.job_card.full_time
Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Specialist UHealth SoL Mia

Patient Access Specialist UHealth SoL Mia

University of MiamiMiami, FL, US
serp_jobs.job_card.full_time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click.Workday to use the internal application process. To learn how to apply for a faculty or staff posit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30