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RN Licensed Clinical Claims Nurse
A company is looking for a Clinical Claims Nurse. Key Responsibilities Review medical records and write clear, concise dispute resolution decisions Make independent decisions based on medical evidence and relevant regulations Conduct research to support accurate decision-making and stay updated on regulatory changes Required Qualifications Associate's degree or 60+ credit hours towards a Bachelor's degree in healthcare or related discipline RN or LLP license required Three years of experience in medical dispute resolution or related healthcare settings Experience in Nursing, Physical Therapy, Respiratory Therapy, or Occupational Therapy preferred Demonstrated experience in writing appeal or payment determinations preferred
A company is looking for a Clinical Claims Nurse.
Key Responsibilities
Review medical records and write clear, concise dispute resolution decisions
Make independent decisions based on medical evidence and relevant regulations
Conduct research to support accurate decision-making and stay updated on regulatory changes
Required Qualifications
Associate's degree or 60+ credit hours towards a Bachelor's degree in healthcare or related discipline
RN or LLP license required
Three years of experience in medical dispute resolution or related healthcare settings
Experience in Nursing, Physical Therapy, Respiratory Therapy, or Occupational Therapy preferred
Demonstrated experience in writing appeal or payment determinations preferred
