Detail for Selected Job:

Job Title: Appeals Specialist
Broad Job Category: Medical/Health
Specific Job Category: General/Other: Medical/Health
Job Description: This Clinical Appeals Specialist Position Features: • Excellent benefits • Full-time • Great Pay to $120K The Clinical Appeals Specialist coordinates and executes the appeal process for the facilities clinical appeals and third party audit. The Clinical Appeals Specialist assures clinical interventions are appropriate for the admitting diagnosis and reflect the standard of care, as defined by the medical staff and the organization; utilizes clinical knowledge and defined standards of care to pro actively identify inappropriate admit status based on identified criteria and ensures the patient is registered at the appropriate level of care; Utilizes McKesson Interqual® clinical guidelines. For more information about this wonderful full-time opportunity please email or call me today! We are an equal employment opportunity employer.
Recruiter: Larry Peterson
Phone: (925) 588-0156
   
 

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