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