Westaff is currently looking to fill a temporary Appeals Registered Nurse position in Schenectady!
This is a great contract opportunity to work with a large Health Insurance company in the Capital District!
Schedule: Monday-Friday 8:30am-5:00pm
Rate of Pay: $31.00/hour
- Review appeal correspondence, medical records, contracts, and medical policies
- Draft a concise review of the inpatient stay per standard and send to the medical director for determination
- Upon receipt of the determination, draft a professional compliant letter advising the Provider of the outcome of the review including reason
- Notify the claims department when an appeal is overturned so the claim can be processed
- Must be an RN with current license
- Acute care experience is required
- Excellent written and oral communication skills
- Previous Utilization Management or Appeals experience is preferred
Call/Text 518-438-3010 to schedule your interview today!