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Appeals Coordinator at Temple University Health System

Philadelphia, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Oct, 26

Salary

0.0

Posted On

08 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Assessment, InterQual Criteria, Milliman Criteria, ICD-10 CM Coding, APC Coding, Nursing

Industry

Hospitals and Health Care

Description

Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required Experience General Experience and knowledge of InterQual and Milliman criteria. Required General Experience and working knowledge of ICD-10 CM coding Required General Experience and Knowledge of APC coding Preferred Licenses PA Registered Nurse License Required Multi State Compact RN License Required Or

Responsibilities

The role is responsible for clinically assessing adverse determinations made by insurers. This involves managing all levels of the appeals process.