- R1 RCM (Chicago, IL)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our ... remote, production-driven position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... remote production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor** , you will help support clinicians ... position. **Here's what you will experience working as a Clinical Appeals Supervisor:** + Track and monitor...additional support and engagement. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay… more
- Elevance Health (Chicago, IL)
- …in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. **How you will make an impact:** + Conducts ... policy, and member eligibility, benefits, and contracts. + Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality,… more
- Insight Global (Skokie, IL)
- …from a clinical perspective. This person will be responsible for preparing appeals and communication with the clinical team members. With a strong focus ... Job Description Insight Global is looking for a clinical denials specialist to join the team at...and Requirements 3+ years experience as a utilization review nurse Experience reviewing and analyzing denied claims Knowledge of… more