RN Appeals Reviewer Job at Minnesota Staffing, Minneapolis, MN

b1lxOWdTaWVZU0swRUdIS2tSZ1JmNjFXbUE9PQ==
  • Minnesota Staffing
  • Minneapolis, MN

Job Description

Remote Rn Appeals Reviewer

Adecco Healthcare & Life Sciences is hiring remote RN Appeals Reviewers! This role is remote / work from home. Please read below and apply with an updated resume for consideration:

Type: Four-month contract, opportunity for extension or fulltime offer

Schedule: Forty hours per week, eight-hour days

Pay: $40.50 to $42.50 an hour

Responsibilities Of The Rn Appeals Reviewer:
  • Responsible for conducting thorough reviews of member and provider appeals, analyzing claim adjustments and histories, and reviewing previous decisions.
  • Evaluate denied services in accordance with policies, benefit plans, federal and state regulations, and clinical criteria, rendering approvals when appropriate.
  • You will summarize medical information for review by the Medical Director as needed, ensuring a balance between high-quality work and meeting production goals.
Qualifications For The Rn Appeals Reviewer:
  • Associates degree
  • Active and good standing RN license in state of residence
  • 5+ years of clinical experience as an RN, including in an acute, inpatient hospital setting
  • Experience applying benefits and criteria to clinical reviews
  • Utilization Management, pre-authorization, concurrent review, or appeals experience

Why work for Adecco?

Weekly Pay

401(k) Plan

Skills Training

Excellent medical, dental, and vision benefits

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply

Job Tags

Weekly pay, Full time, Contract work, Temporary work, Local area, Remote work,

Similar Jobs

Cross Key Management

Bookkeeper Job at Cross Key Management

 ...Description Position Overview: We are looking for an experienced Bookkeeper who will be responsible for managing the financial records and...  ...is an in-office position based in one of our local real estate offices in Newtown or Bethlehem. Remote work is not available.... 

Pursuit Collection

Housekeeping Assistant Manager Job at Pursuit Collection

 ...scheduling, ordering, inventory, discipline, etc Communicate with Front Desk and General Management to ensure arriving guest rooms are clean and prepared Ensure staff spaces are clean and sanitized Invest in housekeeping team through training and teaching Maintain... 

KitchFix

Cafe Attendant Job at KitchFix

KitchFix is a chef-driven organization that seeks to provide best-in-class hospitality through quality food and unparalleled service. Our operations include contract dining for performance-focused operations in 8 states and a headquarters based in Chicago. We believe exceptional...

Sodexo

Food Production Manager 2 Job at Sodexo

 ...Job Description Role Overview: Sodexo i s seeking a Food Production Manager 2to support the Universities Dining segment at Northwest Missouri State University located in MARYVILLE, Missouri. The Food Production Manager will be responsible for resident... 

Yardnique

Landscape Production Manager Job at Yardnique

 ...youre looking for an engaging and rewarding environment with plenty of room for growth, join our family of landscape lovers. Job Title: Production Manager Department: Operations Job Summary The Maintenance Production Manager (PM) is an operations focused,...