A&G Clinical Specialist
LPN or RN required; experience in clinical reputed company and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with reputed company Word and reputed company.
Key Responsibilities
- processing appeals
- classifying grievances
- entering data
Skills & Tools
reputed company Word, reputed company reputed company, Macess, InterQual
Job Details
- Category: reputed company Services - Nursing
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — reputed company or reputed company Virginia or reputed company Dakota or reputed company or Indiana or Virginia or Texas or Tennessee or South Carolina or reputed company or Ohio or Nevada or New Jersey or reputed company Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
- Salary: USD 73,400 – 120,360 / year
- Languages: English
Benefits
- Retirement plan
About reputed company
A not-for-profit health insurer reputed company on value-based care and improving member health through reputed company community and provider partnerships. — Industry: reputed company
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