Talent.com
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsRockford, Illinois, 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 • Rockford, Illinois, United States

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

Patient Access Specialist

Northwestern Memorial HealthcareDeKalb, IL, US
serp_jobs.job_card.full_time
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This patient-first approach is what sets us apart as a leader in the healthcare industry.A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Services Rep Dermatology Full-time Days

Patient Services Rep Dermatology Full-time Days

Northwestern Medicine Central DuPage HospitalSycamore, IL, US
serp_jobs.job_card.full_time
Patient Services Rep Dermatology Full-time Days.At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Assistant

Certified Medical Assistant

COMMUNITY HEALTH PARTNERSHIP OF ILLINOISHarvard, IL, US
serp_jobs.job_card.full_time
Community Health Partnership of Illinois is a is a non-profit organization that provides primary health care to migrant farmworkers and other medically underserved populations throughout northern a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
PA Specialist

PA Specialist

Milton Hershey SchoolHarvard, IL, United States
serp_jobs.job_card.full_time
Description : Milton Hershey School (MHS) is one of the world's best private schools, where students in pre-K through 12th grade from disadvantaged backgrounds receive an exceptional career-focused...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Licensed Clinical Professional Counselor (LCPC) - Rochelle, IL

Licensed Clinical Professional Counselor (LCPC) - Rochelle, IL

Vitae Health SystemsRochelle, Illinois
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
Licensed Clinical Profesional Counselor (LCPC).Founded in 2017, Vitae Health Systems is one of the largest providers of internal medicine and behavioral health services to the residents of Skilled ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinic Lead

Clinic Lead

WellNow Urgent CareDixon, IL, US
serp_jobs.job_card.full_time
WellNow Urgent Care takes pride in creating an environment filled with meaningful work and opportunities by investing in our colleagues. We offer competitive salaries and a comprehensive benefits pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Scribe Primary Care Full-time Days

Medical Scribe Primary Care Full-time Days

Northwestern Memorial HealthcareSycamore, IL, US
serp_jobs.job_card.full_time
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This patient-first approach is what sets us apart as a leader in the healthcare industry.A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Local Contract Medical Technologist

Local Contract Medical Technologist

LanceSoftDixon, IL, US
serp_jobs.job_card.permanent
LanceSoft is seeking a local contract Medical Technologist for a local contract job in Dixon, Illinois.Job Description & Requirements. Position 1 : Day shift hours are M-F 6a-2 : 30p with alt...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Health Navigator

Patient Health Navigator

COMMUNITY HEALTH PARTNERSHIP OF ILLINOISHarvard, IL, US
serp_jobs.job_card.full_time
Community Health Partnership of Illinois is a is a non-profit organization that provides primary health care to migrant farmworkers and other medically underserved populations throughout northern a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Systems of Care Navigator

Systems of Care Navigator

Rosecrance Inc.Rockford, IL, US
serp_jobs.job_card.full_time
At Rosecrance we’ve been leading the way in behavioral health services for over a century.Our team empowers individuals and families to overcome substance use and mental health challenges thr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative I

Patient Access Representative I

SSM Health Rehabilitation HospitalJanesville, WI, US
serp_jobs.job_card.full_time
It's more than a career, it's a calling.Mary's Hospital - Janesville Worker Type : Regular.Job Summary : Responsible for communicating with patients, participants and staff to accurately schedule pat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Records technician

Medical Records technician

TradeJobsWorkForce53502 Albany, WI, 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 I

Patient Access Representative I

SSM HealthJanesville, WI, US
serp_jobs.job_card.full_time
It's more than a career, it's a calling.Responsible for communicating with patients, participants and staff to accurately schedule patients for prescribed procedures and gather the necessary demogr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Home Health PT - PRN

Home Health PT - PRN

Inspired HomecareDeKalb, IL, USA
serp_jobs.job_card.part_time
serp_jobs.filters_job_card.quick_apply
Are you a physical therapist with a passion for providing exceptional care to patients in their own homes? Well, have we got an exciting opportunity for you! Inspired Homecare is seeking a part-tim...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Health Screener

Health Screener

Biolife Plasma Services CareersDekalb, IL, US
serp_jobs.job_card.part_time
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Telemedicine Physician

Telemedicine Physician

QuickMDBrodhead, WI, 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
Patient Service Rep Ophthalmology Full-time Days

Patient Service Rep Ophthalmology Full-time Days

Northwestern Medicine Central DuPage HospitalDekalb, IL, US
serp_jobs.job_card.full_time
Patient Service Rep Ophthalmology Full-time Days.The Patient Service Representative reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Records Technician

Medical Records Technician

TradeJobsWorkForce53502 Albany, WI, 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
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Medical Customer Service Rep

Medical Customer Service Rep

Biolife Plasma Services CareersJanesville, WI, US
serp_jobs.job_card.part_time
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Entry Level Medical Screener

Entry Level Medical Screener

Biolife Plasma Services CareersDekalb, IL, US
serp_jobs.job_card.full_time
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours