Clinical Appeals Specialist
Shared Services - Richmond - Richmond, VA

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Parallon Richmond Shared Services

has the following opportunity available at its business office.

Clinical Appeals Specialist

The Clinical Appeals Specialist

handles appeals requiring clinical input or interpretation.

Job tasks and responsibilities include:
Monitors insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons

Identifies coding or clinical documentation issues and works to correct them in a timely manner

Location: The Boulders Office Park, 7300 Beaufont Spring Drive, Boulders VIII, Richmond, Va. 23225.


Job qualifications include:
Associate or Vocational Degree in Nursing required

Must have at least one year of case management experience or relevant education

Strong communication, interpersonal and customer service skills required

Demonstrates proficiency in Microsoft Office applications

Able to work in a fast-paced environment

HCA Inc - 2 years ago - save job