AllMed Healthcare Management, Inc - Portland, OR 3.2

MEDICAL REVIEW CLINICIAN. The Medical Review Clinician (MRC) is responsible for drafting and completing medical necessity reviews and physician peer reviews....

Estimated: $110,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Lenawee Community Mental Health Authority - Adrian, MI 

Comply with LCMHA Consumer Appeals Policy. Services performed by the Access Clinician are provided within the LCMHA Emergency Services and Access System....

$46,000 - $61,000 a yearSponsored

Inova Health System - Falls Church, VA 3.8

Also directly responsible for audit and appeal at second level of appeal process. Directly responsible for conducting audit and appeal at second level of...

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OSS Health - York, PA 3.7

Acts as a resource on coding issues and questions to ensure accurate coding for appropriate reimbursement and data capture for inpatient and outpatient review...

Estimated: $48,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Emory Healthcare - Atlanta, GA 4

Documents appeal information.. Stays current with payer regulations, appeals processes and industry trends. Responsible for the appeal of technical denials to...

Estimated: $37,000 - $52,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

naviHealth - Brentwood, TN 3.3

The Appeals Coordinator is responsible for writing the DENC (Detailed Explanation of Non-Coverage) or preparing an appeal response package once an appeal has...

Estimated: $74,000 - $95,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

HealthSource Integrated Solutions - Topeka, KS 

Current licensed bachelor or master’s level clinician. Processes appeals as needed and provides backup for fair hearing, PASSR and emergency coverage, as...

Estimated: $32,000 - $42,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The KonTerra Group - Washington, DC 

Collaborate with the other Center clinicians, USAID Social Workers, and other partner organization clinicians for effective service provision....

Estimated: $63,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

UnitedHealth Group - Norristown, PA +4 locations3.6

Experience working with the appeals process. Review case to determine if review by clinician is required....

BlueCross BlueShield of Tennessee - Chattanooga, TN 3.9

Inquiries may be related to prior authorization requests, referred retrospective claims, claims to determine pre-existing status, UM appeals, provider appeals,...

Estimated: $50,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Anthem, Inc. - United States 3.8

May also manage appeals for services denied. Responsible to manage a team of clinicians charged with promoting quality member outcomes, to optimize member...

Estimated: $100,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

State of Colorado Job Opportunities - Cañon City, CO 3.5

A standard appeal form is available at:. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your...

$5,000 - $5,400 a month

Atlantic Region CBO - Richmond, VA 

The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up...

Estimated: $40,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Aetna - Blue Bell, PA 3.8

Independently coordinates the clinical resolution with internal/external clinician support as required. Dynamic fast paced team which reviews clinical appeals...

Estimated: $55,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Clover Health - San Francisco, CA 3.2

You have some Appeals experience. As an Appeals Associate, you will:. As the Appeals Associate you'll lead the non-clinical day-to-day operations of the fast...

Estimated: $60,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Vaya Health - Asheville, NC 3.5

The CSR will be alert to any indicators of risk for immediate referral to a Customer Service Clinician. Gathering information regarding complaints and concerns,...

$39,000 - $49,000 a year

TaraVista - Devens, MA 

The Utilization Review Clinician is an active participant in the health care team responsible for the overall utilization management program on psychiatric...

Estimated: $54,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Equian LLC - Golden, CO 3.1

Collaborate with Appeal Clinician to apply appeal results. Coordinate clinical review for appeals requiring clinician review....

Estimated: $52,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Crossroads Treatment Centers - Suffolk, VA 

Performs daily audit of charges against clinician documentation and addresses discrepancies and errors....

Estimated: $47,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

State of Colorado Job Opportunities - Denver, CO 3.5

A standard appeal form is available at:. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your...

$3,100 - $4,600 a month

Highmark Health - Pennsylvania +3 locations3.2

Also serves as a subject matter expert to clinicians from other HMS teams to provide education, consultation, and training when indicated....

Estimated: $48,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Charlotte Behavioral Health Care - Punta Gorda, FL 3.2

Responsible for completing insurance appeals when necessary, auditing of charts, reviewing hospital referrals, and updating the hospital logs....

Estimated: $50,000 - $67,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

UnitedHealth Group - Westerville, OH +2 locations3.6

Review case to determine if review by clinician is required. You’ll drive the action and communicate with appropriate parties regarding appeals and grievance...

Solutions Treatment Center - Albuquerque, NM 

Perform insurance reviews and clinical appeals. Working knowledge of the Utilization Review and Appeal process with insurance companies....

$45,000 - $55,000 a yearSponsored

Highmark Health - Pennsylvania 3.2

Also serves as a subject matter expert to clinicians from other HMS teams to provide education, consultation, and training when indicated....

Estimated: $48,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Washington & West, LLC - Towson, MD 

To review medical charts and write appeals to insurance companies. This is an excellent opportunity for a clinician to create a new career path building on...

Estimated: $40,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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