• Clinical Denial Appeals

    TEKsystems (Annapolis, MD)
    …medical necessity, responding to authorization concerns, and/or reconciling coverage-related issues. The clinical denial appeals specialist also works ... be Determined) Schedule : Monday - Friday (Normal Business Hours) Position Summary: As a Clinical Denial Appeals Analyst, you will be responsible for the… more
    TEKsystems (01/15/25)
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  • Prior Authorization Specialist RN PRN

    Intermountain Health (Annapolis, MD)
    …financially secure patients encounter(s) + Explains and answers patient, caregiver, provider, or clinical team questions when able + Denial review, appeal, and ... requests and/or review of denials to ensure medical necessity, payer policies, appeals and reconsideration needs. Promotes the quality and cost effectiveness of… more
    Intermountain Health (01/18/25)
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