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Clinical Appeals Coordinator Job In Philadelphia

Published 2020-06-30
Expires 2020-07-30
ID #113386799
Free
Clinical Appeals Coordinator Job In Philadelphia
United-states, Pennsylvania, Philadelphia,
Published June 30, 2020

Job details:

Job type: Full time
Contract type: Permanent
Occupation: Clinical appeals coordinator


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Description

IntePros is seeking an experienced RN with experience in performing Clinical Appeals Coordination to join an exciting team at our largest Healthcare client. This is a great opportunity to join one of Philadelphia's top-rated employers! RN Clinical Appeals Coordinator Description The candidate will be responsible for Coordinating appeals from receipt to resolution. Investigates participant appeals in accordance with applicable accreditation standards, federal and state laws. Adheres to department policies regarding quality and timeliness, and by maintaining accurate and tracking and reporting of all appeals. Process appeals, analyze, research, and provide comprehensive responses in accordance with established regulatory guidelines. Collaborate with staff, providers, member andor member designee to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate, respond to, and finalize appeal. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and regulatory provisions. THE INTEPROS DIFFERENCE IntePros is founded on the core values of accountability, family, passion, trust and value. IntePros offers all consultants comprehensive medical, dental and vision programs. We also offer direct deposit and a 1,500year education and professional certification fund. IntePros does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, sexual orientation, disability, age, veteran or military status, retaliation, or other characteristic protected by law. Only qualified individuals being considered will be contacted CORP1 dice

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    Intepros Consulting
    Private person
    Registered on 7. Oct 2017
    Contact employer No phone nuxxxx

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    Intepros Consulting
    Private person
    Registered on October 7, 2017

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    Pennsylvania ( (listen) PEN-səl-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the Northeastern, Great Lakes, Appalachian, and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 5th-most populous state according to the most recent official U.S. Census count in 2010. It is the 9th-most densely populated of the 50 states. Pennsylvania's two most populous cities are Philadelphia (1,580,863), and Pittsburgh (302,407). The state capital and its 13th-largest city is Harrisburg. Pennsylvania has 140 miles (225 km) of waterfront along Lake Erie and the Delaware River.The state is one of the 13 original founding states of the United States; it came into being in 1681 as a result of a royal land grant to William Penn, the son of the state's namesake. Part of Pennsylvania (along the Delaware River), together with the present State of Delaware, had earlier been organized as the Colony of New Sweden. It was the second state to ratify the United States Constitution, on December 12, 1787. Independence Hall, where the United States Declaration of Independence and United States Constitution were drafted, is located in Philadelphia, the state's largest city. During the American Civil War, the Battle of Gettysburg was fought in the south central region of the state. Valley Forge near Philadelphia was General Washington's headquarters during the bitter winter of 1777–78.

    Source: https://en.wikipedia.org/