Clinical Appeals Nurse

Appeals Nurses reviews medical records and applies sound clinical judgment in supporting patient claims by gathering medical information that would support the validity of the patient's medical condition in order to overturn insurance claim denial (creation of appeal letters on behalf of the physicians)

Required Qualifications :

• Active USRN license
• Must have clinical appeals experience focusing on writing an appeal letter on behalf of the Physicians / Hospitals
• Willing to work full-time with shifting schedule
• Temporary work from home set-up
• Tools will be provided by the company
• Can start ASAP