Appeals Coordinator
Temple University
Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required Experience General Experience and knowledge of InterQual and Milliman criteria. Required General Experience and working knowledge of ICD-10 CM coding Required General Experience and Knowledge of APC coding Preferred Licenses PA Registered Nurse License Required Multi State Compact RN License Required Or
Your Tomorrow is Here! Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here! Equal Opportunity Employer/Veterans/Disabled An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here! Temple University Hospital is a nationally respected teaching hospital on Temple University's bustling Health Sciences Center campus. The hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner, across the country and around the world. As the chief clinical training site for the Lewis Katz School of Medicine at Temple University, the hospital provides a dynamic environment for high-quality care, teaching, and cutting edge research.- ...Denials And Appeal Specialist Develops and maintains accurate information on the Denials and Appeal for all third party payers as well as Medical Assistance Late Pick-up process to ensure appropriate reimbursement to TUH and Episcopal. Creates reports in a timely and...Suggested
- Position Summary The Appeals Supervisor oversees day‑to‑day operations of the administrative (non-clinical)appeals. This role ensures... ..., review, correspondence generation, and workflow coordination non-clinical appeals. The position supports Commercial (PA & NJ...SuggestedWork at office
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