Registered Nurse (RN) license required., Experience in clinical appeals or utilization management preferred., Strong analytical and communication skills are essential., Ability to work independently in a remote setting..
Key responsibilities:
Review and analyze clinical documentation for appeal cases.
Collaborate with healthcare providers to gather necessary information.
Prepare and submit appeal letters to insurance companies.
Maintain accurate records of appeal outcomes and follow-up actions.
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Conifer Health Solutions is a healthcare experience company focused on driving improved outcomes for patients and healthcare providers.
We are a business partner who is passionate about quality healthcare. Working with Conifer, providers can spend more time on patient care and less time on everyday revenue management responsibilities.
Hospitals and Health Systems, Physician Groups, Employers and Unions - you care for patients, we care for your business.
Letβs talk about how our point solutions can help you:
- Enable patient-centric culture and consumer loyalty
- Improve the link between clinical quality and accurate reimbursement
- Optimize the balance between speed and completeness of payment
- Transition from volume to value-based care
#CareOverEverything