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Job Requirements of Appeal Analyst RN I:
-
Employment Type:
Contractor
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Location:
Hopewell, NJ (Onsite)
Do you meet the requirements for this job?
Appeal Analyst RN I
Careers Integrated Resources Inc
Hopewell, NJ (Onsite)
Contractor
Job Title: Appeal Analyst - Registered Nurse I
Location: Fully Remote
Duration: 3+months (possibility of extension)
Schedule: 8 Am – 5 Pm Mon - Fri
Pay Range: $40.00 - $42.00/Hour /hr. on W2
Candidates must be from any of the following states: New York, New Jersey, Pennsylvania, Delaware, Connecticut
Job Description:
Required Experience:
Location: Fully Remote
Duration: 3+months (possibility of extension)
Schedule: 8 Am – 5 Pm Mon - Fri
Pay Range: $40.00 - $42.00/Hour /hr. on W2
Candidates must be from any of the following states: New York, New Jersey, Pennsylvania, Delaware, Connecticut
Job Description:
- Appeal Analyst RN who will train new hire in the clinical role to complete Utilization Management Appeals and act as an RN II on the team
Required Experience:
- Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems.
- PC proficiency to include Microsoft Word and Excel and health insurance databases.
- Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings.
- Organizational skills and prioritization skills
- Registered Nurse (RN) with unrestricted license in NJ state.
- 3 years clinical experience with at least
- 2 years within the hospital setting or direct patient care.
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