Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Related keywords
Some similar recruitments
Data Entry Clerk / Typing - Work From Home/ Remote
Recruited by Jobconversion, LLC 8 months ago
Address Jacksonville, FL, United States
Data Entry Work From Home
Recruited by GCN Staffing & Recruiting 8 months ago
Address Miami-Fort Lauderdale Area, United States
Legal Transcription - Work From Home
Recruited by Net Transcripts, Inc 8 months ago
Address Fort Myers, FL, United States
Work From Your Phone Opportunity
Recruited by LC EXCLUSIVE 8 months ago
Address Coconut Creek, FL, United States
Work From Your Phone Opportunity
Recruited by LC EXCLUSIVE 8 months ago
Address Miami, FL, United States
Remote Sales Rep - Work From Home, Great Training, No Cold Calls
Recruited by ASG National 8 months ago
Address Orlando, FL, United States
Remote Sales Rep - Work From Home, Great Training, No Cold Calls
Recruited by ASG National 8 months ago
Address Fort Lauderdale, FL, United States
Remote Sales Rep - Work From Home, Great Training, No Cold Calls
Recruited by ASG National 8 months ago
Address Charlotte, NC, United States
Customer Service Intake Representative-Work From Home-Evicore
Recruited by Cigna Healthcare 8 months ago
Address Tampa, FL, United States
Work From Home (Orlando Area) - Vacation Planner - Sales
Recruited by Marriott Vacations Worldwide 8 months ago
Address , Orlando, 32819
Administrative / Executive Assistant Work From Home - $40 Hourly
Recruited by Florida Prime Properties 8 months ago
Address Orlando, FL, United States
Work From Your Phone Opportunity
Recruited by LC EXCLUSIVE 8 months ago
Address Fort Lauderdale, FL, United States
Remote Sales Rep - Work From Home, Great Training, No Cold Calls
Recruited by ASG National 8 months ago
Address Lakeshore, FL, United States
Remote Sales Rep - Work From Home, Great Training, No Cold Calls
Recruited by ASG National 8 months ago
Address Miami, FL, United States
Clinical Appeals Nurse Rn Work From Home
Company | HCA Healthcare |
Address | Largo, FL, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-08-09 |
Posted at | 10 months ago |
Description
- Consumer discounts through Abenity and Consumer Discounts
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Colleague recognition program
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Free counseling services and resources for emotional, physical and financial wellbeing
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Determine root cause of each denial and apply company specific coding for trending and analysis.
- Demonstrate understanding of use of all medical necessity software, including but not limited to InterQual.
- Demonstrate the ability to interpret medical payer policy requirements.
- Identify problem accounts/processes/trends and escalate as appropriate.
- Present a concise medical summary within each appeal based on support from the medical record.
- Update the patient account record to identify actions taken on the account.
- Contact appropriate parties (internal and/or external) as needed for additional information to resolve the clinical appeal.
- Compose clinical appeal letters to send to payers for denial reconsiderations utilizing documentation, contract language, or voice recordings as applicable.
- Associates Degree preferred
- Currently licensed as a Registered Nurse (RN) in the state(s) of practice and/or has an active compact license, in accordance with law and regulation
- Relevant education may substitute experience requirement
- Strong ability to research evidence-based practices and is able to identify trends and process improvements.
- At least 1 year of case management experience required
-
Systems Analyst - Excel, Xml, Sql, Scripting
By CyberCoders At Salt Lake City, UT, United States 8 months ago
-
(Senior) Finance & Shared Services Manager
By Catholics For Choice At Washington, DC, United States 8 months ago
-
Paralegal - Probate Administration
By CyberCoders At Miami, FL, United States 8 months ago
-
Account Executive - Automotive Software
By ECW Search At United States 8 months ago
-
Construction Project Coordinator Jobs
By CyberCoders At River Falls, WI, United States 8 months ago