Pennsylvania Licensed Clinical Appeals Reviewer
VirtualVocationsDenver, Colorado, 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 a Clinical Appeals Reviewer.
Key Responsibilities
Process appeals while ensuring compliance with regulatory milestones
Review medical records for documentation and billing code compliance
Engage with appellants, providers, and members to gather necessary information for case determination
Required Qualifications, Training, and Education
Bachelor's degree (BSN) required
3 or more years of experience in a related clinical setting
Current and unrestricted Registered Nurse (RN) licensure
Working knowledge of InterQual criteria preferred
Proficiency in utilizing Electronic Medical Records (EMRs) and MS Office
serp_jobs.job_alerts.create_a_job
Clinical Reviewer • Denver, Colorado, United States
Job_description.internal_linking.related_jobs
Job Opportunity At Auto-Owners.A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
A leading law firm with more than twenty years in business is seeking an experienced Attorney with a strong background in commercial contract law.
This role involves advising clients on commercial c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a New Start when a loss occurs.Applications ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Direct Counsel is representing a well-known Am Law 100 firm seeking a Commercial Litigation Associate for its Denver office.
Associate – Commercial Litigation.Comprehensive benefits package pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Claim Analyst plays a vital role in helping clients recover unclaimed property by managing and analyzing claims from start to finish.
This position requires strong analytical and critical thinki...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Multi-Line Claim Representative II.Schedule : MondayFriday, 8 : 00 AM4 : 30 PM (Local Time Zone).Salary Range : $65,000$75,000 annually.
Build Your Career With Purpose at CCMSI.At CCMSI, we don't just pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Field (property) Claims professional to join our team.
The position requires the following, but is not l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The ideal candidate will be located in Denver, Colorado.This is a fully remote position (Colorado).Manage claims conducting on-site inspections to fully assess and adjust property losses.Ensure ons...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Broomfield, CO corporate headquarters.MWH Constructors is a global project delivery company with a focus on water and energy.
With the ultimate goal of delivering maximum value to clients and their ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Head Of Sales & Partnerships, ID Watchdog.Equifax is where you can power your possible.If you want to achieve your true potential, chart new paths, develop new skills, collaborate with bright minds...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Director of Risk Management & Client Services.The Claims Advocate serves as a trusted advisor and liaison for commercial clients throughout the property and casualty claims process.This role en...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.Auto-Owners I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Are you a meticulous and experienced professional with a keen eye for detail? We are seeking a.In this remote position, you will play a key role in the payment and denial of medical claims, ensurin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
- serp_jobs.job_card.promoted
Auto Claims Representative
Auto-Owners InsuranceDenver, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator (Lakewood)
Randstad USALakewood, CO, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +2
- serp_jobs.job_card.promoted
Commercial Attorney
Strategic EmploymentBoulder, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Experienced Catastrophe Claims Representative
Auto-Owners InsuranceBroomfield, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Commercial Litigation Associate - Denver
Direct CounselAurora, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claim Analyst
Lauth Investigations InternationalBoulder, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
National Cargo & APD Claim Representative II (Remote)
CCMSIEnglewood, CO, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator (Denver)
Randstad USADenver, CO, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +2
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator (Westminster)
Randstad USAWestminster, CO, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +2
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator
Randstad USADenver, CO, United Statesserp_jobs.filters.remote
serp_jobs.job_card.permanent +1
- serp_jobs.job_card.promoted
Field Claims Representative
Auto-Owners InsuranceBroomfield, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Specialist - Crop
QBE InsuranceEnglewood, CO, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Senior Claim Specialist (COLORADO)
ChubbDenver, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator (Aurora)
Randstad USAAurora, CO, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +2
- serp_jobs.job_card.promoted
Senior Counsel
MWHBroomfield, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Consent
EquifaxDenver, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Advocate
CHERRY CREEK INSURANCE AGENCY INCEnglewood, CO, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Representative Internship - Summer 2026
Auto-Owners InsuranceBroomfield, CO, USserp_jobs.job_card.internship
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator (Arvada)
Randstad USAArvada, CO, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +2
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Remote Medical Claims Adjudicator (Thornton)
Randstad USAThornton, CO, USserp_jobs.filters.remote
serp_jobs.job_card.part_time +2