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Remote Clinical Appeal Analyst

Company: VirtualVocations
Location: Whittier
Posted on: November 22, 2022

Job Description:

A healthcare company needs applicants for an opening for a Remote Clinical Appeal Analyst.

Individual must be able to fulfill the following responsibilities:
Research payor medical policies for coverage requirements for assigned products
Develop, train, and deploy a process to submit and monitor clinical appeals for assigned product
Review payor denials for compliance to payor quality standards
Required Skills:

Bachelor's Degree healthcare related field of study or equivalent experience
Minimum of 5 years appeals experience
5 years of experience utilizing medical decision support tools or medical policies
Knowledge of CPT/HCPCS. ICD-10, modifier selection, and UB revenue codes

Keywords: VirtualVocations, Whittier , Remote Clinical Appeal Analyst, Professions , Whittier, California

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