ALJ Appeals Professional - Licensed Nurse

VirtualVocations
Jackson Heights, New York, United States
Full-time

A company is looking for an ALJ Appeals Professional IV to perform complex work related to Medicare appeals.Key ResponsibilitiesParticipates in ALJ hearings and provides written or verbal testimonyReviews medical records and writes clear, impartial Reconsideration decisionsConducts research to support accurate and well-supported decisions based on medical evidenceRequired QualificationsBachelor's degree from an accredited college or universityActive license as a Physical Therapist, Nurse Practitioner, Physician Assistant, Registered Nurse, or Occupational TherapistSeven years of direct patient care experienceExperience in making medical necessity decisions and Medicare knowledgePreferred experience testifying in legal proceedings or as an expert witness

10 days ago
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