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Corporate Appeals Analyst - RN (26-13114)

Talent Software Services

  • Columbia, SC
  • 5 days ago
  • $31.59 Per Hour
  • Contractor

Highlights

Active, unrestricted RN license in the state of hire or active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC). Will focus heavily on reviewing medical records and provider appeals/denials, confirming appropriate coding, and determining whether a denial should be upheld or overturned.

Numbers & Facts

LocationColumbia, SC
Job TypeContractor
Salary$31.59 Per Hour

Description

Max pay rate - $31.59/hr
NON SCA
Positions: 3
Contract only - currently through 12/31/2026
(Potential for extension)
Onsite position - Must be a local candidate
Virtual Teams interview with Hiring Manager, Jason Perla
Start date - ASAP upon clearing onboarding; currently listed for 10/26
Schedule - Monday-Friday, typically 8am-5pm (Some flexibility for an earlier start time)
Training - "One on One " | On-the-job

 

Qualifications:
- 3 years of clinical experience; or 2 years of clinical experience plus 1 year of utilization/medical review, quality assurance, or home health experience
- Associate Degree in Nursing or graduate of an accredited School of Nursing
- Active, unrestricted RN license in the state of hire or active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
- Healthcare insurance experience preferred

 

Day-to-day work:

  • Will focus heavily on reviewing medical records and provider appeals/denials, confirming appropriate coding, and determining whether a denial should be upheld or overturned.
  • Please ensure candidates are genuinely interested in an appeals/clinical review role and understand this is not a traditional bedside RN position before submitting.
  • Please confirm the candidate meets the required RN licensure and experience requirements listed above before submission.
  • Manager is specifically looking for candidates who demonstrate dependability and accountability.

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