Talent.com
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsJackson, Mississippi, United States
job_description.job_card.variable_hours_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 • Jackson, Mississippi, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Health Information Manager

Health Information Manager

Lifepoint Health®Madison, MS, US
serp_jobs.job_card.full_time +1
Facility Name : Baptist Memorial Rehabilitation Hospital.Baptist Memorial Rehabilitation Hospital.Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast.We are dr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative II

Patient Access Representative II

Sutter HealthJackson, MS, US
serp_jobs.job_card.full_time
Sutter Health Patient Access Representative.Serves as the face to face point of contact for patients.This job is intended for use by positions employed by a hospital. Obtains all necessary informati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Admitting Clerk - Days, Full-time

Admitting Clerk - Days, Full-time

Community Health SystemsFlowood, MS, US
serp_jobs.job_card.full_time
The Admitting Clerk facilitates the efficient admission and registration of patients, ensuring accuracy in documentation, insurance verification, and financial counseling.This role provides excepti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Data Integrity Specialist I

Patient Access Data Integrity Specialist I

Healthier Mississippi People LLCCanton, MS, US
serp_jobs.job_card.full_time
To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Provider Relations Specialist

Provider Relations Specialist

Morgan White GroupRidgeland, MS, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
The Provider Relations Specialist reports to the Quality Assurance and Provider Relations Manager in the MWG-Administrators Division. The position a non-exempt, hourly role and is located at 500 Ste...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Office Assistant

Medical Office Assistant

University of Mississippi Medical CenterRidgeland, MS, US
serp_jobs.job_card.full_time
To assist physicians and other primary health care providers with clerical, financial, and other general medical office operations in ambulatory practice. To work in support of clinic operations per...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Information Manager

Health Information Manager

Lifepoint HealthJackson, MS, United States
serp_jobs.job_card.full_time +1
Facility Name : Baptist Memorial Rehabilitation Hospital.Baptist Memorial Rehabilitation Hospital.We are driven by a profound commitment to prioritize your well-being so you can provide exceptional ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Provider Compliance Specialist

Provider Compliance Specialist

Blue Cross & Blue Shield of MississippiFlowood, MS, US
serp_jobs.job_card.full_time
At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere.Our 'be healthy' culture promotes health and wellness at all levels of the Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Assistant

Certified Medical Assistant

University of Mississippi Medical CenterRidgeland, MS, US
serp_jobs.job_card.full_time
To perform routine administrative and clinical duties to ensure orderly, efficient office operations and to assist staff with the examination and treatment of patients within university physicians....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Information Manager (Jackson)

Health Information Manager (Jackson)

Lifepoint HealthJackson, MS, US
serp_jobs.job_card.full_time +1
Facility Name : Baptist Memorial Rehabilitation Hospital.Baptist Memorial Rehabilitation Hospital.We are driven by a profound commitment to prioritize your well-being so you can provide exceptional ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative - ER Registration

Patient Access Representative - ER Registration

University of Mississippi Medical CenterJackson, MS, US
serp_jobs.job_card.full_time
End Date : October 14, 2025 (6 days left to apply).Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Admitting Clerk - Nights, PRN

Admitting Clerk - Nights, PRN

Community Health SystemsFlowood, MS, 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.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Insurance Billing Specialist

Insurance Billing Specialist

Morgan White GroupRidgeland, MS, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
The Billing Specialist reports to the Billing Department Manager in the MWG-Administrators Division.The position is a non-exempt, hourly role and is located at. Steed Road, Ridgeland MS 39157.GENERA...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Health Information Manager (Madison)

Health Information Manager (Madison)

Lifepoint HealthMadison, MS, US
serp_jobs.job_card.full_time +1
Facility Name : Baptist Memorial Rehabilitation Hospital.Baptist Memorial Rehabilitation Hospital.We are driven by a profound commitment to prioritize your well-being so you can provide exceptional ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Family Medicine Physician Opportunity in Ridgeland, SC

Family Medicine Physician Opportunity in Ridgeland, SC

CompHealthRidgeland, US
serp_jobs.job_card.full_time
This opportunity is in the town of Ridgeland, nestled right off of interstate 95 and is conveniently located near the cities of Hilton Head, Savannah, Charleston, and Beaufort.Ridgeland is situated...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative - ER Registration - PT

Patient Access Representative - ER Registration - PT

University of Mississippi Medical CenterJackson, MS, US
serp_jobs.job_card.part_time
Patient Access Representative - Er Registration - Pt.The Patient Access Representative is responsible for greeting patients, verifying insurance information, registering patients for services, coll...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Managed Care Payment Integrity Analyst - Contract Reimbursement - Payor Contracting

Managed Care Payment Integrity Analyst - Contract Reimbursement - Payor Contracting

University of Mississippi Medical CenterClinton, MS, US
serp_jobs.job_card.full_time
Managed Care Payment Integrity Analyst - Contract Reimbursement - Payor Contracting.The Payment Integrity Analyst is accountable for monitoring and recovering variances between expected and actual ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Administrator

Claims Administrator

Morgan White GroupRidgeland, MS, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
The Claims Administrator reports to the.Claims Admin and Quality Assurance Manager.MWG-Administrators TPA Division.The position is a non-exempt, hourly role and is located at 500 Steed Road, Ridgel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Health Information Manager (Pearl)

Health Information Manager (Pearl)

Lifepoint HealthPearl, MS, US
serp_jobs.job_card.full_time +1
Facility Name : Baptist Memorial Rehabilitation Hospital.Baptist Memorial Rehabilitation Hospital.We are driven by a profound commitment to prioritize your well-being so you can provide exceptional ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.new
Hospital Admissions Clerk - PRN

Hospital Admissions Clerk - PRN

Simpson General HospitalMendenhall, MS, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Be the First Face of Care – When It Matters Most 🌟.Simpson General Hospital – Mendenhall, MS 39114.Are you calm under pressure, quick with a smile, and ready to make a difference in th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours