Massachusetts Licensed RN Appeals Administrator
Company: VirtualVocations
Location: Everett
Posted on: February 1, 2025
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Job Description:
A company is looking for an RN Denials and Appeals
Administrator, Per Diem.
Key Responsibilities
Manage the pre-denial, denial, and appeal processes in accordance
with Utilization Review standards
Utilize medical necessity screening tools to conduct initial and
continued stay reviews
Collaborate with payers to secure authorization for clinical
services in a timely manner
Required Qualifications
Associate or Bachelor Degree in Nursing; graduate degree
preferred
MA RN License is required
CCM or ACM certification preferred
3-5 years of related experience in healthcare case management and
patient insurance/billing
3-4 years of supervisory experience preferred
Keywords: VirtualVocations, Edmonds , Massachusetts Licensed RN Appeals Administrator, Healthcare , Everett, Washington
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