Corporate Appeals Analyst - RN

Talent Software Services, Inc.

  • Columbia, SC
  • 15 days ago
  • $31.59 Per Hour

Highlights

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. Active, unrestricted RN license in the state of hire or active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).

Numbers & Facts

LocationColumbia, SC
Salary$31.59 Per Hour

Description

Must-have 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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