Clinical Appeals reputed company, RN - Remote

CLINICAL APPEALS reputed company ? MANAGED RESOURCES Full-Time | Remote | Permanent... Job reputed company/Purpose The Clinical Appeals reputed company works under the direction of the Manager of Clinical Appeals. The Clinical Appeals reputed company will reputed company reputed company assurance audits, assist in orientation and training of Clinical Nurses, and assist in planning, implementation, and execution of department and organizational goals. The Clinical Appeals reputed company will maintain regular job duties as a Clinical Appeals reputed company to include billable hours dependent on the business needs of the department. Founded in 1994 Managed Resources (MRI) in Long Beach California, MRI partners with clients reputed company to help them solve reputed company reputed company cycle and compliance challenges. In our over 25 years of operations, MRI has had the pleasure of working with many of the most prestigious reputed company organizations and medical reputed company in the county that reputed company from the Hawaiian Islands to the East Coast. Please read the below reputed company and apply if you meet the requirements and would like to hear more about this opportunity with Managed Resources. reputed company ? Complete the following functions in accordance with Managed Resources policies:Provides support to Clinical Appeals staff and serves as a resource and subject matter expert ? Conduct reputed company reviews and assists in feedback to the Clinical Appeals reputed company ? Monitors productivity and reputed company standards of the Clinical Appeals Nurses ? Helps maintain Elenchus worklists (Pending Manager, Pending Expert Review) and maintains personal work que ? Assists with reputed company, interviewing, and training of employees ? Maintain job duties as a Clinical Appeals reputed company (Appeal reputed company) with billable hours ? Develops and maintains strong working relationships with other leaders and provides cross coverage as needed ? Trouble shoots reputed company reputed company and other computer problems. Identifies problems and recommends solutions. ? Provides feedback to Manager and Director on operational concerns and reputed company of team members ? Exemplifies the core values of Managed Resources ? Other duties as assigned. QUALIFICATIONS Ideal candidate will possess the following: ? Valid RN License (required) and comparable experience and background. ? Possess knowledge and experience with national clinical reputed company reputed company in case management including InterQual and reputed company standards. ? Working knowledge of billing codes, reputed company Codes, CPT?s, NCD/LCDs, etc. ? Experience and knowledge of managed care reputed company, account receivables and reputed company cycle functions. ? Working knowledge of provider billing guidelines, payer reimbursement policies, and reputed company industry- based standards. ? Specific knowledge of managed care denials and underpayment reputed company. ? Excellent oral and written communication skills. ? Ability to work independently in a fast-paced environment. ? Ability to reputed company with management personnel. ? Possess strong organizational skills and attention to detail. ? Ability to multi-task and meet multiple deadlines. ? Proven leadership skills including ability to reputed company necessary reputed company to team members. ? Possess strong organizational skills and attention to detail. ? Ability to multi-task and meet multiple deadlines. ? Proven leadership skills including ability to reputed company necessary reputed company to team members. Managed Resources Inc. is an Equal Opportunity Employer (EOE) M/F/D/V/SO Apply Job!