Tennessee Licensed Appeals AnalystVirtualVocations • Jamaica, New York, United States
[error_messages.no_longer_accepting]
Tennessee Licensed Appeals Analyst
VirtualVocations • Jamaica, New York, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for an Appeals Analyst for Medicare Part B.
Key Responsibilities
Researches and documents complex appeal or retrospective review requests in compliance with regulations
Performs thorough reviews of service appeals based on clinical documentation and contractual requirements
Conducts special projects to identify quality of care issues through clinical information reviews
Required Qualifications and Education
Associate's degree in a job-related field or graduate of an accredited school of nursing
2 years of clinical experience plus 1 year of utilization / medical review or quality assurance, or 3 years of clinical experience
Active, unrestricted RN license from the United States or compact multistate RN license
Working knowledge of managed care and healthcare delivery systems
Strong clinical experience, including home health and rehabilitation
[job_alerts.create_a_job]
Tennessee Tennessee • Jamaica, New York, United States
[internal_linking.similar_jobs]
Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal’s survey of the nation’s largest law firms.
We’re also Mansfield Certified P...[show_more]
Please submit your application so that we can get you into our system!.[show_more]
Leads and oversees implementation and supporting application system.Researches, studies, and analyzes system-related issues and provides appropriate resolution.
Ensures the integrity, maintenance, a...[show_more]
Bloomingdale's makes fashion personal and fun, aspirational yet approachable.Our mission is to guide and inspire our customers to make style a source of creative energy in their lives.We will alway...[show_more]
Denials and Appeals Mngmt Cord.Decrease the monies lost to insurance companies due to denials.Generate appropriate appeals, both retrospective and concurrent, based on medical necessity criteria.Id...[show_more]
A leading financial institution in Greenwich, CT is seeking an Analyst / Associate for the Short Term Liquidity Solutions team.
The role involves providing rate quotes, maintaining client relationship...[show_more]
Gartner Analysts are industry thought leaders who create must-have insights, market predictions and best practices for a broad range of world-leading organizations.
A Senior Director Analyst serves ...[show_more]
Paul Global Benefits (PGB) is now a part of World Insurance Associates.World Insurance Associates is a unique insurance organization offering top products and services from major providers, combine...[show_more] Supports and enhances products on larger, more complex or multiple products for enterprise resource planning, budgeting, data warehousing, and financial reporting.
Collaborates with Finance and vend...[show_more] Supports and enhances products on larger, more complex or multiple products for enterprise resource planning, budgeting, data warehousing, and financial reporting.
Collaborates with Finance and vend...[show_more] 
System Configuration and Maintenance : .Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.Maintain the Resolute P...[show_more]
Summary Paul Global Benefits (PGB) is now a part of World Insurance Associates.World Insurance Associates is a unique insurance organization offering top products and services from major providers,...[show_more]
We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...[show_more]
Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm.
It is at the core of how we operate and the reason for our suc...[show_more] Highly Preferred : Epic Cupid / Radiant Certification.Supports and enhances products on larger, more complex or multiple products for enterprise resource planning, budgeting, data warehousing, and fin...[show_more] 
Paul Global Benefits (PGB) is now a part of World Insurance Associates.World Insurance Associates is a unique insurance organization offering top products and services from major providers, combine...[show_more]
System Configuration and Maintenance : .Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.Maintain the Resolute P...[show_more]
At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.
We have been widely recognized for our exceptional culture, world-class phy...[show_more]
Revenue Team Analyst
Wilson Elser • City of White Plains, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Employment Application
Nissan of Garden City • Hempstead, NY, USA
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Lead Product Services & Management Analyst - Epic Inpatient Orders / Bugsy / Lab
Northwell Health • Lake Success, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Senior Loyalty Analyst
Bloomingdale's • Queens, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Denials and Appeals Mngmt Cord
Westchester Medical Center • Valhalla, New York, United States, 10595
[job_card.full_time]
[last_updated.last_updated_30]
Liquidity Solutions Analyst / Associate – Corporate Banking
Mizuho • Greenwich, CT, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Contract Life Cycle Management & Technology Expert (Senior Director, Analyst - Fully Remote United States)
Gartner • Stamford, CT, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Senior Underwriting & Financial Analyst, Employee Benefits - Syosset, NY
World Insurance • Syosset, NY, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Epic Lumens Senior Product Services & Management Analyst
Northwell Health • Lake Success, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Senior Product Services & Management Analyst - Epic Orders / Bugsy Analyst
Northwell Health • Lake Success, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Professional Billing Analyst
International Staff Consulting • Garden City, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Underwriting & Financial Analyst, Employee Benefits - Syosset, NY
World Insurance Associates, LLC. • Syosset, NY, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Freelance Brand Opinion Analyst (Hiring Immediately)
Earn Haus • Glen Cove, New York, US
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Claim Specialist - Property Field Inspection
State Farm • Hicksville, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Epic Cupid / Radiant Senior Analyst - Senior Product Services & Management Analyst
Northwell Health • New Hyde Park, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Underwriting & Financial Analyst, Employee Benefits - Syosset, NY
World Insurance Associates LLC • Syosset, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Professional Billing Analyst
Affinity Executive Search • Garden City, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Revenue Integrity Analyst
White Plains Hospital • White Plains, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]