Expired Clinical Appeals Specialist jobs in Jacksonville, FL
Jacksonville, FL
$24,723-$96,631/year (est.)
Covid-19 Vaccination Guidance: UPDATED 12/9/21: The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health...
Jacksonville, FL
$24,682-$96,471/year (est.)
Reviews provider appeal and medical documentation. Reviews form CMS-1500 or equivalent electronic counterpart for proper coding. Accesses Legacy or Diamond to review how the claim was originally processed by the Company. Assist appeal coordinators in the clinical research and processing of appeals...
Jacksonville, FL
$24,682-$96,471/year (est.)
Essential Functions The essential functions listed represent the major duties of this role, additional duties may be assigned. Reviews and researches provider appeals to reach a final determination. Reviews provider appeal and medical documentation. Reviews form CMS-1500 or equivalent electronic...
Elevance Health
Jacksonville, FL
$24,723-$96,631/year (est.)
Nurse Appeals Lead Location: Florida, Florida Job Family: MED > Licensed Nurse Type: Full time Date Posted:Jun 20, 2022 Req #: PS74893 Description The Nurse Appeals Lead is responsible for serving as a team lead and for investigating and processing the most complex grievances and appeals requests...
Jacksonville, FL
$24,682-$96,471/year (est.)
Job Summary Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on findings and procedures within strict timelines established by regulatory requirements....
Jacksonville, FL
$24,682-$96,471/year (est.)
Aerotek is looking to hire an Appeals RN! Description: Job Title: Appeals RN JOB SUMMARY: Appeals & Post Service Review RN role is centered on the daily case review for appeals from members, members' beneficiary representatives, and non-participating providers in order to meet timeliness &...
Jacksonville, FL
$24,682-$96,471/year (est.)
Job Description: Description: Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on findings and procedures within strict timelines established by regulatory...