Remote Clinical Appeal Specialist — RN, Coding & Payer

Partner Company; United States; À distance; USD 75 000 - 110 000; Plein temps

Avantages offerts par ce poste

Fully remote-eligible

Résumé du poste

Partner Company is a remote-focused organization dedicated to improving patient outcomes within cancer care. This role supports revenue cycle optimization by evaluating denied claims and developing appeal strategies.

The candidate brings an active RN license, reimbursement knowledge, and experience with medical coding and payer policies, along with strong Excel, analytical, and communication skills, to drive improvements across the revenue cycle in a fully remote setup.

Qualifications

• RN license required and reimbursement knowledge.
• Experience with medical coding and payer policies.
• Strong Excel skills and analytical/communication abilities.

Responsabilités

• Investigate denied claims and appeal strategies.
• Analyze payer policies and trends.
• Recommend revenue cycle improvements.

Connaissances

RN license

Reimbursement knowledge

Medical coding experience

Payer policy experience

Excel

Analytical skills

Communication skills

Description du poste

Partner Company is a remote-focused organization dedicated to improving patient outcomes within cancer care. This role supports revenue cycle optimization by evaluating denied claims and developing appeal strategies.

The candidate brings an active RN license, reimbursement knowledge, and experience with medical coding and payer policies, along with strong Excel, analytical, and communication skills, to drive improvements across the revenue cycle in a fully remote setup.