Clinical Appeals Nurse: Timely, Patient‑Centered Decisions
Visa Hunt
Alignment Health seeks a Clinical Appeals Nurse to review appeals for inpatient and outpatient services. The role requires applying clinical criteria and collaborating with Medical Directors to ensure timely, cost-efficient outcomes. You will verify eligibility, coding, and documentation, coordinate records, and prepare denial letters when needed. The position emphasizes HIPAA-compliant handling and may support audits. #J-18808-Ljbffr Visa Hunt
Vacancy posted 3 days ago
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