Utah Licensed Clinical Appeals Consultant
Company: VirtualVocations
Location: Abilene
Posted on: March 25, 2025
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Job Description:
A company is looking for a Clinical Appeals Consultant who will
perform clinical assessments and reviews for patient accounts to
facilitate appropriate appeals.
Key Responsibilities
Utilizes evidence-based criteria to conduct clinical reviews for
insurance audits and appeals
Assesses clinical appeal requests based on payer policies and
regulations
Collaborates with multidisciplinary teams to prepare and improve
appeal processes
Required Qualifications, Training, and Education
Graduate of an accredited nursing school (Associates or Bachelor's
degree)
Current valid RN License
Three years of experience in utilization review or related
healthcare settings
Preferred Bachelor's or Master's degree in nursing
Preferred five years of experience in utilization review or related
healthcare settings
Keywords: VirtualVocations, Abilene , Utah Licensed Clinical Appeals Consultant, Professions , Abilene, Texas
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