Georgia Employer CLINICAL APPEALS NURSE (WORK FROM HOME) in Norcross, Georgia

Company Job ID-08591-137978 Parallon, a leading health care company is offering a great opportunity. We are looking for a dynamic candidate to be part of our team. We offer excellent relocation and benefit packages, including 401K, bonus potential, tuition reimbursement, medical and dental plans, flexible spending plans, long-term/ short -term disability, and generous paid time off! DUTIES INCLUDE BUT ARE NOT LIMITED TO:Monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasonsIdentify coding or clinical documentation issues and work to correct the errors in a timely manner.Identify problem accounts and escalates as appropriateUpdate the patient account record to identify actions taken on the account.Work with guarantors to secure payment on account balances outstanding for clinical reasons Qualifications EDUCATION. ASN or BSN EXPERIENCE. At least one+ years case management experience required. UR experience a must. Intermural experience CERTIFICATE/LICENSE - Current State RN or LPN License