- Centene Corporation (New York, NY)
- …of all appeals requests + Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry ... York State clinical license.** **Position Purpose:** Performs clinical reviews needed to resolve and process appeals...analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with… more
- RWJBarnabas Health (Oceanport, NJ)
- Clinical Appeals , RN, RemoteReq #:0000173624 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services ... Department: Appeals Location: Remote, 2 Crescent Place, Oceanport, NJ 07757...for managing medical denials by conducting a comprehensive analytic review of clinical documentation to determine if… more