Expired Clinical Appeals Specialist jobs in Omaha, NE
Omaha, NE
$45K-$55K / yr. (est.)
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid...
Omaha, NE
$23,126-$90,389/year (est.)
Purpose of Job Responsible for the overall management and communication of clinically-based denials received from third-party payers, managed care companies, and/or governments entities/auditors. The Clinical Appeals RN will determine the viability of each case referred for appeal based on review...