Licensed RN Clinical Appeals Reviewer
VirtualVocationsBuffalo, New York, United Statesjob_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 • Buffalo, New York, United States
Job_description.internal_linking.related_jobs
Medicaid / AR Coordinator Buffalo Center is actively seeking a full-time Medicaid / AR Coordinator to work in the business office of our facility.
The ideal candidate will be detail-oriented and be able...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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
Clinical Coordinator (Bilingual).Interested in joining a growing, people-first team that does great things for Canadian organizations and the individuals connected with them? Arcora is looking for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 
REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 
This job captures all inbound inquiries for utilization management review from providers and pharmacies.The incumbent assesses the request, conducts all necessary research such as verifying benefit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal's survey of the nation's largest law firms.We're also Mansfield...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Company : Roswell Park Comprehensive Cancer Center.Shift : First Shift (United States of America).Summary : Assumes responsibility for the effective entry of patients into Roswell Park Comprehensive C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Clinical Coordinator (Bilingual).Interested in joining a growing, people-first team that does great things for Canadian organizations and the individuals connected with them? Arcora is looking for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Clinical Coordinator (Bilingual).Interested in joining a growing, people-first team that does great things for Canadian organizations and the individuals connected with them? Arcora is looking for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
With a mantra of Empowering Human Potential, Hanger, Inc.O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.Ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.
Offering flexible working ho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
Patient Registration Representative.Job Summary : As a Patient Registration Representative, you will be responsible for providing exceptional customer service and support to patients during the regi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.
Offering flexible working ho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Transcribe medical reports, summaries, office visit notes and other medical documents from recorded messages from health care providers Provide online copies of transcribed documents to physicians ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
The Centralized Intake Specialist plays a key role at the forefront of the intake process for clinical services, as well as other agency programs.
This individual is responsible for receiving intake...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Complete Regulatory is part of IPG Health Medical Communications, who is home to the world’s most celebrated and awarded Med Comms agencies.
We are 800 experts obsessed with combining science, creat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
AR / Medicaid Coordinator
Buffalo CenterBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Records Technician
TradeJobsWorkForce14280 Buffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Coordinator (Bilingual)
Arcorast catharines, on, caserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Scribe - Remote
TradeJobsWorkForce14226 Eggertsville, NY, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Billing - Earn Up to $37 / hr
TradeJobsWorkforce14043 Depew, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Billing
TradeJobsWorkforce14226 Eggertsville, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Records technician
TradeJobsWorkForce14270 Buffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Intake Coordinator
Highmark HealthBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Malpractice Associate Attorney- Buffalo, NY
Wilson Elser - AttorneysBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Representative
Roswell ParkBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Coordinator (Bilingual) - Arcora
Arcorast catharines, on, caserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Coordinator (Bilingual) - st catharines
Arcorast catharines, on, caserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Coordinator
HangerBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Medical Biller - Remote (Cheektowaga)
AP Executive StaffingCheektowaga, NY, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +1
- serp_jobs.job_card.promoted
Patient Registration Rep.
Community Health Center of BuffaloBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Billing Clerk
TradeJobsWorkforce14265 Buffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Medical Biller - Remote
AP Executive StaffingCheektowaga, NY, United Statesserp_jobs.filters.remote
serp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Medical Transcriptionist
TradeJobsWorkForce14225 Cheektowaga, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Centralized Intake Specialist
Child & Family Services of Erie CountyBuffalo, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Regulatory Writer - Complete Regulatory | An IPG Health Company
Complete Regulatory | An IPG Health Companyniagara falls, on, caserp_jobs.job_card.full_time