Clinical Appeals LVN

Description

We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing clinical denials related to medical necessity, level of care, and delays in service. This role involves reviewing medical records, preparing clinical documentation to support appeals, and following up on submitted appeals. The Clinical Appeals Specialist will work closely with a team of Licensed Vocational Nurses (LVNs) and Registered Nurses (RNs) to ensure comprehensive and accurate appeal submissions.

Skills

clinical data analysis, appeals, medical reimbursement, clinical review, collections medical

Top Skills Details

clinical data analysis,appeals,medical reimbursement,clinical review,collections medical

Additional Skills & Qualifications

1+ Years of experience in reviewing medical records 1+ years of experiences in appeals and denials High School Diploma

Experience Level

Intermediate Level