Utilization Review Nurse/ Appeals RN - Richardson, TX

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. · ...

The Revenue Cycle Clinician for the Appellate Solution is responsible for recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review and preparing and documenting appeal based on industry accepted criteria. · ...

The Revenue Cycle Clinician for the Appellate Solution is responsible for recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review preparing and documenting appeal based on industry accepted criteria. · Must possess a valid nursing ...

The Revenue Cycle Clinician for the Appellate Solution is responsible for recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review and preparing and documenting appeal based on industry accepted criteria. · ...

Job summary · The Revenue Cycle Clinician for the Appellate Solution is responsible for recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review. · ...

We're building a brand-new team from the ground up, · and we're looking for professionals like you to join us on this exciting journey. · Collaborating with a talented team to design and implement cutting-edge solutions that improve patient outcomes and reduce healthcare costsCon ...

Imagine being part of a revolutionary movement in healthcare, where innovation meets collaboration and passion meets purpose. We're building a brand-new team from the ground up, and we're looking for professionals like you to join us on this exciting journey. · As a key member of ...

The Authorization Specialist is responsible for ensuring timely and accurate insurance verifications and obtaining authorizations for home health services. · Verify patient insurance benefits and eligibility for home health services. · Obtain initial and ongoing authorizations fo ...

Imagine being part of a revolutionary movement in healthcare, where innovation meets collaboration and passion meets purpose. We're building a brand-new team from the ground up, and we're looking for professionals like you to join us on this exciting journey. · As a key member of ...

The Authorization Specialist is responsible for ensuring timely and accurate insurance verifications and obtaining authorizations for home health services. This role is critical in facilitating seamless patient care by securing required approvals and communicating effectively wit ...

Benefits: · Dental insurance · Health insurance · Paid time off · Vision insurance · Purpose of the Role · The Authorization Specialist is responsible for ensuring timely and accurate insurance verifications and obtaining authorizations for home health services. This role is crit ...

Why You Should Work With Us:: · Arizona College of Nursing is a rapidly growing, nursing school that transforms people's lives by preparing them for careers in nursing and improving communities through the care its graduates provide. As a leading nurse educator, Arizona College o ...

Assesses site survey readiness and provides support during the survey process for all hospice sites in accordance with Medicare/State guidelines. · ...

The Intake Registered Nurse is responsible for assisting in the process of receiving, scheduling and triaging in-bound calls and referrals throughout the admissions department for patients in need of the services provided.The role involves supporting members of leadership throug ...

We are seeking a highly skilled and experienced Clinical Denials Specialist with a strong background in nursing (RN) and a deep understanding of medical necessity reviews and utilization management. · Registered Nurse (RN) – active license required. · ...

The Intake Registered Nurse is responsible for assisting in the process of receiving, scheduling and triaging in-bound calls and referrals throughout the admissions department for patients in need of the services provided. · Receive referral calls, obtain minimal demographic info ...

+ Perimeter Behavioral Hospital of Dallas is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for adolescents, adults, · as well as senior adults. · The Intake Registered Nurse assists in receiving scheduling triaging in-bound calls referra ...

If you're looking for a schedule that fits your lifestyle, check out PAM Health - and ask us about our comprehensive benefits package · Some things that our hospital can offer YOU as a full-time employee: · Medical Benefits: EPO/HDHP/HSA options, including prescription coverage, ...

About Legent Health · At Legent Health, our mission is simple yet profound: "To provide first-class health care that puts YOU first." · Our vision reflects our commitment to excellence: "Through robust physician partnerships, become a nationwide leader in compassionate, quality h ...

The Regional Utilization Review Coordinator is responsible for management of all utilization review and/or case management activities at the assigned inpatient facilities. · ...