Clinical Appeals Specialist, RN
This position is easy to learn and perfect for a first job. Clinical Appeals Specialist, RN! This role is located at our Remote facility. This position requires a strong and diverse skillset in relevant areas to drive success. An attractive remuneration of a competitive salary is on offer for the successful candidate.
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Overview:** Xtend Healthcare is seeking a Clinical Appeals Specialist, RN to work collaboratively with project leaders and clients to assist healthcare providers in evaluating, reporting, and providing recommendations on denied or underpaid claims. This remote position requires a registered nurse with five years of experience in utilization review and electronic health record expertise... **Responsibilities:**  Evaluate, report findings, and provide recommendations on denied or underpaid claims  Assist in identifying, complying, and reversing denials from payers  Work closely with client departments to review and obtain medical documentation for denial appeals  Compile, analyze, and report on data related to underpayments, denials, revenue opportunities, and revenue leakage  Serve as a resource for billing and reimbursement questions requiring clinical knowledge and medical records review and interpretation  Continuously review and update knowledge of relevant regulations  Perform other duties as assigned related to clinical review and patient care management  *Qualifications:**  Bachelor's degree in Nursing, Business, Health Information, Clinical Studies, or Registered Nurse (RN) from an accredited institution  Five years' experience as an RN, including utilization review experience  Electronic health record (EHR) expertise, including knowledge of various vendors  Reliable high-speed internet, cell phone, and computer equipment  Private workspace or home office free from distractions  *Benefits:**  Competitive salary and benefits package  Opportunity to work with a leading revenue cycle management company  Collaborative and dynamic work environment  Professional development and growth opportunities  Comprehensive training program  Equal Opportunity Employer with a commitment to diversity and inclusion Apply Job! For more such jobs please click here!Â
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