North Carolina Licensed Clinical Appeals Specialist RN
A company is looking for a Clinical Appeals Specialist RN (Remote NC). Key Responsibilities Coordinate and manage the Medicaid and Non-Medicaid denial and appeals processes Prepare clinical documentation and represent the organization during mediation and appeals hearings Maintain accurate records and assist in data collection and reporting related to appeals Required Qualifications, Training, and Education Bachelor's degree in Nursing with active RN licensure in North Carolina Two years of post-degree professional experience Knowledge of behavioral health and physical health conditions Experience in data collection and analysis Proficiency in Microsoft Office Suite and relevant reporting systems
A company is looking for a Clinical Appeals Specialist RN (Remote NC).
Key Responsibilities
Coordinate and manage the Medicaid and Non-Medicaid denial and appeals processes
Prepare clinical documentation and represent the organization during mediation and appeals hearings
Maintain accurate records and assist in data collection and reporting related to appeals
Required Qualifications, Training, and Education
Bachelor's degree in Nursing with active RN licensure in North Carolina
Two years of post-degree professional experience
Knowledge of behavioral health and physical health conditions
Experience in data collection and analysis
Proficiency in Microsoft Office Suite and relevant reporting systems
