RN Clinical Appeals Reviewer
VirtualVocationsOntario, California, United Statesjob_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 • Ontario, California, United States
Job_description.internal_linking.related_jobs
Astrana Health is looking for a Utilization Review Nurse to assist our Health Services Department in reviewing.Candidates must be available to work 365 days a year to account for the rotating weeke...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Health Information Management Technician II.This is a 3-month contract with the possibility of an extension, competitive pay and benefits, and a great way to start working with a top-tier healthcar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
Care Net Home Health is a patient-centric organization whose goal is to promote quality home health services throughout Los Angeles County.
The ideal candidate is team oriented, diligent, and able t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Health Information Management Technician II.This is a 3-month contract with the possibility of an extension, competitive pay and benefits, and a great way to start working with a top-tier healthcar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
We are hiring in the following states : .AR, AZ, CA, CO, CT, FL, GA, IA, IL, MN, MO, NC, NJ, NE, NV, OK, PA, SD, TN, TX, VA, WA, WI.
Candidates who meet the minimum qualifications will be required to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Salary : Depending on experience.Little Land Pediatric Therapy and Recess Pediatric Therapy are seeking a compassionate and detail-oriented.
New Patient Intake Specialist to guide families through th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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 We are seeking a proactive and compassionate.Prior Authorizations and Referral Coordinator.In this role, you will coordinate referrals and prior authorizations by submitting requests through approp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
ProHealth Partners is an established multi-specialty physician group and has been providing care to patients over the last 30 years.
Our network includes over 250+ physicians in over 100+ clinics th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days We are hiring in the following states : .AR, AZ, CA, CO, CT, FL, GA, IA, IL, MN, MO, NC, NJ, NE, NV, OK, PA, SD, TN, TX, VA, WA, WI.
At Currance, we believe in recognizing the unique skills and experi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Being a ScribeMD Scribe will provide you with an invaluable experience working directly alongside a medical professional on the frontlines of healthcare.
A scribe is a motivated, dedicated and drive...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We believe in keeping beauty, Naked.Bringing lavish and affordable experiences to anyone and everyone who simply desires it.
Through a minimalistic, personalized approach to aesthetics, we are redef...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Day 08hrs (United States of America).At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care.
We are responsible for the overall health of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Scribe Job Duties : Prepares and assembles medical record documentation / charts for ph...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job.
Incumbents may be requested to perform job-related tasks other than those s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
MC : Clinical Documentation Imp-.The Clinical Documentation Specialist is responsible for concurrent clinical documentation review with an emphasis on completeness and accuracy of provider documenta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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 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 
Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy.
Our mission is to provide a patient-focused enviro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Help support inquires received from the Provider Relations Team Research claims, eligibility, and compliance items raised by physician practices .
Ability to handle provider concerns in an empatheti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
- serp_jobs.job_card.promoted
Utilization Review Nurse - Denials
Astrana Health, Inc.Monterey Park, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Health Information Specialist
Pride HealthCosta Mesa, California, United Statesserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
Intake Coordinator for Home Health
ANGEL CARE HOSPICE OF ARCADIA INCArcadia, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Health Information Specialist (Costa Mesa)
Pride HealthCosta Mesa, CA, USserp_jobs.job_card.part_time +1
- serp_jobs.job_card.promoted
Physician Biller II
Currance IncIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
New Patient Intake Specialist (Pediatric Therapy)
Bright BrandsArcadia, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Claims Examiner
NTT DATAOntario, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Referrals and Prior Authorizations Coordinator (Hybrid)
Astrana Health, Inc.Alhambra, CA, USserp_jobs.job_card.full_time
Part-time Medical Scribe
Argus Medical Management, LLCLake Forest, CA, USAserp_jobs.job_card.part_time +1
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Medical Biller III.
Currance IncIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Scribe
ScribeMDOrange, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Clearance Team Clinician
NakedMDChino Hills, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Practice Referral Coordinator, SOCPA
ChocMission Viejo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Scribe - Remote
TradeJobsWorkForce92623 Irvine, CA, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Scribe
Rancho Health MSO, IncMurrieta, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Documentation Spec
Loma Linda University HealthLoma Linda, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Internal Medicine- Independent Medical Examiner (IME) - City of Industry, CA
Dane Street, LLCCity of Industry, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Xcelys Medical Claims Examiner
NTT DATAOntario, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Coordinator
Infusion4Health IncRiverside, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.new
IPA Coordinator
Astrana Health, Inc.Riverside, California, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply