Overview
On Site
USD 26.00 - 30.00 per hour
Full Time
Skills
LVN
Revenue Management
Management
Documentation
Clinical Data Analysis
Collections
Medical Records
Taxes
Life Insurance
Business Transformation
Law
Job Details
Description
We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing clinical denials related to medical necessity, level of care, and delays in service. This role involves reviewing medical records, preparing clinical documentation to support appeals, and following up on submitted appeals. The Clinical Appeals Specialist will work closely with a team of Licensed Vocational Nurses (LVNs) and Registered Nurses (RNs) to ensure comprehensive and accurate appeal submissions.
Skills
clinical data analysis, appeals, medical reimbursement, clinical review, collections medical
Top Skills Details
clinical data analysis,appeals,medical reimbursement,clinical review,collections medical
Additional Skills & Qualifications
1+ Years of experience in reviewing medical records 1+ years of experiences in appeals and denials High School Diploma
Experience Level
Intermediate Level
Pay and Benefits
The pay range for this position is $26.00 - $30.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in San Bernardino,CA.
Application Deadline
This position is anticipated to close on May 9, 2025.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing clinical denials related to medical necessity, level of care, and delays in service. This role involves reviewing medical records, preparing clinical documentation to support appeals, and following up on submitted appeals. The Clinical Appeals Specialist will work closely with a team of Licensed Vocational Nurses (LVNs) and Registered Nurses (RNs) to ensure comprehensive and accurate appeal submissions.
Skills
clinical data analysis, appeals, medical reimbursement, clinical review, collections medical
Top Skills Details
clinical data analysis,appeals,medical reimbursement,clinical review,collections medical
Additional Skills & Qualifications
1+ Years of experience in reviewing medical records 1+ years of experiences in appeals and denials High School Diploma
Experience Level
Intermediate Level
Pay and Benefits
The pay range for this position is $26.00 - $30.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in San Bernardino,CA.
Application Deadline
This position is anticipated to close on May 9, 2025.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.