Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process.
Education
Other Graduate of an accredited school of nursing Required
Experience
General experience and knowledge of InterQual and Milliman criteria. Required
General experience and working knowledge of ICD-10 CM coding Required
General experience and knowledge of APC coding Preferred
Licenses
PA Registered Nurse License Required
Multi State Compact RN License Required Or
Appeals Coordinator • Philadelphia, PA, United States
Langhorne, Pennsylvania, United States.A great opportunity is at your fingertips!.Reasons You Should Join Us Today! Discover exciting BENEFITS:.Exclusive Discounts to shopping, theme parks, hotels,... Show more
Fully Remote 1000 Mount Laurel - Mount Laurel, NJ 08054.Hourly Position Type Full Time Education Level High School.ASMG, an affiliate of AnnieMac Home Mortgage, is looking to hire a Full Time Home... Show more
The pay range for this role is $16.The pay range listed reflects a general hiring range for the area, with the specific rate determined based on the candidate's experience, skill level, and educati... Show more
Our client is looking for a full time Senior Contractor to partner closely with field sales to manage Pharmaceutical Alignment and Call Plan Management for several Therapeutic Areas.This role will ... Show more
The CompanyFriedman Vartolo LLP is a rapidly growing New York based real estate and default services law firm with 300employees across six states.The firm prides itself not solely on its superior l... Show more
Clinical Nurse Appeals Specialist.Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process.Other Graduate of an accredited school o... Show more
Join our team today and immerse yourself in a rewarding career for years to come!.As the Program Coordinator, you will work within our adult partial care located in Berlin, Camden County NJ.From yo... Show more
Hybrid 520 N Columbus Blvd - Philadelphia, PA 19123.The Accounts Payable Coordinator is responsible for processing vendor invoices, ensuring timely payments and maintaining accurate records in com... Show more
Are you ready for a career for life? Want stability? Want to give back to your community? At Key Retirement Services, backed by AMERICAN SENIOR BENEFITS, where we put people back in the people busi... Show more
Fire Protection Outside Sales Associate.Associated Fire Protection is seeking a highly motivated and experienced Fire Protection Outside Sales Associate to join our team.This position focuses on th... Show more
Job Location: Hillsboro, NJ (Remote).Benefits: Medical, Dental, Vision, 401K plan, PTO.The Customer Delivery Project Coordinator will assist and support the project.Responsible for tracking project... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
ImpactBio is growing, and we're looking for a highly organized, proactive, and client-focused Client Account Coordinator to join our team.In this role, you'll work closely with the Program Leads to... Show more
Status: Full-time Location: Valley Forge, PA (Founding Forward, 1601 Valley Forge Rd Valley Forge, PA 19481), with one day per week at the The Union League of Philadelphia, and occasional work at o... Show more
Project Coordinator for CNB Application Management.As part of the Department of Psychiatry, the Neurodevelopment & Psychosis Section, the Lifespan Brain Institute (LiBI), and the Brain Behavior Lab... Show more
Our client, a prominent, mid-size TheCC law firm, has an immediate opening for a billing coordinator.The candidate will be responsible for handling all accounts payable to a company by supervising ... Show more
The EMAC Group is actively looking to connect with experienced Wholesale and non-delegated type Account Executives and Regional Managers, on behalf of three established and terrific mortgage compan... Show more
Installation Support Specialist Supervisor.As the Installation Support Specialist Supervisor, you will be responsible for leading and managing CI Team staff within their division, ensuring exceptio... Show more
The Transaction Coordinator (TC) supports agents, buyers, and sellers from pre-contract through post-closing.This role ensures transactions move smoothly, deadlines are met, documentation is accura... Show more
Want to work in a place where you can learn, laugh, be supported, be yourself and reach your goals? If so, then Panera is for you.We are a top franchise group with great growth potential, looking f... Show more
