Clinical Appeals Coordinator

Temple University Health System; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Temple Health is seeking an Appeals Coordinator to clinically assess adverse determinations by insurers through all levels of the appeals process. The role supports patient care continuity and requires a PA nursing license and familiarity with accreditation and coding guidelines.

Based in Philadelphia, PA, this full-time day-shift position focuses on operational administration within Temple Health's network.

Qualifications

• RN licensed in PA required
• Experience with InterQual/Milliman criteria
• Experience with ICD-10-CM coding
• APC coding knowledge preferred

Skills

InterQual/Milliman criteria

ICD-10 coding

APC coding

Education

Graduate of an accredited school of nursing

Job description

Temple Health is seeking an Appeals Coordinator to clinically assess adverse determinations by insurers through all levels of the appeals process. The role supports patient care continuity and requires a PA nursing license and familiarity with accreditation and coding guidelines.

Based in Philadelphia, PA, this full-time day-shift position focuses on operational administration within Temple Health's network.