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Appeals Coordinator

  • Philadelphia, PA, United States
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Job details

Posting language
English
Posted

Original job description

Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process.

Education Other Graduate of an accredited school of nursing Required

Experience General Experience and knowledge of InterQual and Milliman criteria. Required General Experience and working knowledge of ICD-10 CM coding Required General Experience and Knowledge of APC coding Preferred

Licenses PA Registered Nurse License Required Multi State Compact RN License Required Or

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Skills

  • RN

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