Licensed RN Clinical Appeals Reviewer
VirtualVocationsTamarac, Florida, 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 • Tamarac, Florida, United States
Job_description.internal_linking.related_jobs
LA Medical Associates is a multi-specialty medical group operating seven medical clinics in Palm Beach County.Our services encompass Primary Care and Podiatric Medicine & Surgery, provided by a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Opportunity At Jupiter Medical Center.Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Community Home Health Services,.Medical Services of America, Inc.Full-Time Medical Records Coordinator.Responsible for pre-billing functions, submission of OASIS data and maintaining patient medica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Scribe-X offers unparalleled clinical experience and preparation for medical school.Work from home and gain clinical experience!.
Receive extensive paid training that will help you master EMR system...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
RemX will never ask for any form of payment prior to or throughout the hiring process.If you have been asked for payment of any kind, please notify us right away.
This is illegitimate and unlawful.R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are looking for a dedicated Pre-Authorization Specialist to join our team in Miramar, Florida.In this contract-to-hire position, you will play a key role in coordinating insurance authorizations...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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 Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.Outstanding...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Claims Associate – Temp to Hire | Sunrise, FL | $19–$21 / hour | Onsite.We’re looking for a detail-oriented Claims Associate to join a growing team in Sunrise, FL.This is a temp-to-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The role of the Medical Scribe is to improve documentation and make the process of treating patients more efficient by handling electric health records and documenting visits.The role accompanies p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews.This opportunity a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Utilization Review Specialist – Exact Billing Solutions (EBS) .About Exact Billing Solutions .Exact Billing Solutions is a unique team of medical billing professionals specializing in the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Preferred Home Care of Florida is seeking an experienced Medicare Home Health Liaison / Sales Representative (Bilingual Spanish a plus) to cover the Broward County area.Industry's most aggressive...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the high signal to noise ratio, making the content beautiful and condensed.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
As a Utilization Review Specialist, you will play a pivotal role in managing and performing various processes related to medical records requests, retrospective review requests, and chart appeals.I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
This position is responsible for patient outreach and coordination of care.This job description may be edited at any time per the company’s needs, with relevant notice to the employee.Essenti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Focus on the core content of the job post, removing all 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 
At GOLDLAW, a personal injury law firm, we believe the happiness, health, and engagement of our employees directly contribute towards the customer service of our clients.
GOLDLAW is a leading person...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Remove any emojis, sp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Medical Billing & Coding Specialiest
LA Medical AssociatesWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Specialist - Full Time - Days
Jupiter Medical CenterWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Records Coordinator
Medical Services of AmericaLake Worth, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Medical Scribe
Scribe-XFort Lauderdale, FL, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
Medical Prior-Authorization Specialist Remote $17 / hr
MediabistroHollywood, FL, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Pre-Authorization Specialist
Robert HalfHollywood, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
PA Specialist
Milton Hershey SchoolNorth Miami, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Specialist
Jupiter Medical CenterWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Processor
AppleOneFort Lauderdale, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Scribe
South Palm Orthopedics, P.A.Delray Beach, FL, USserp_jobs.job_card.full_time
Physician Reviewer - Internal Medicine
Dane Street, LLCWest Palm Beach, FL, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Utilization Review Specialist
ICBDLauderdale Lakes, FL, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Home Health Liaison
Preferred Home Care of FloridaHollywood, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Representative II
Tenet HealthcareWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Orthopedic Surgery- Independent Medical Examiner (IME)- Fort Lauderdale
Dane Street, LLCFort Lauderdale, FL, USserp_jobs.job_card.full_time
Utilization Review Specialist
StaffosaurusBoynton Beach, Florida, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Patient Access Coordinator
PBACO Holding LLCWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Experienced Patient Access Representative II - M-F 7 : 30a-4p
Tenet HealthcareWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Malpractice Associate Attorney
GOLDLAWWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Representative II 7p-5 : 30a
Tenet HealthcareWest Palm Beach, FL, USserp_jobs.job_card.full_time