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Appeals Registered Nurse

SCHENECTADY, NY

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Description

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

 

Job Duties:

  • 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

 

Job Requirements

Job Requirements:

  • 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!

 

Apply Now