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Location:

Remote work but the first week may be in-office for training.

Job Description:

Gathers all information required for an appeal, writes, and submits the appeal to the insurance company, makes follow up phone calls, and maintains documentation.Utilizes criteria guidelines and clinical documentation to develop sound and well-supported appeal arguments to support medical necessity.Works independently and collaboratively with other departments to positively affect clinical and financial outcomes.

Education:

Requires a Bachelor's degree in Social Work, RN or degree in a related behavioral health field. 2+ years of experience in a managed care/healthcare setting; or any combination of education and experience F1430420-KSP_1757432323 To Apply for this Job Click Here