Jobs · Healthcare · Pennsylvania

Appeals Coordinator

HealthcareFull-time

Responsibilities

  • Clinically assess all adverse determinations made by insurers through all levels of the appeals process.

Requirements

  • Graduate of an accredited school of nursing
  • PA Registered Nurse License Required
  • Multi State Compact RN License Required

Other

  • General Experience and knowledge of InterQual and Milliman criteria
  • General Experience and working knowledge of ICD-10 CM coding
  • General Experience And Knowledge Of APC Coding

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