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RN Appeals Writer - Remote

Piedmont Healthcare Inc.
Remote, USA
Full-time
Senior · 7+ years experience
Remote
Discovered 3 weeks ago
InterQualMillimanSCMQuestSTAREPIC

Full Job Posting

  • Graduate from an accredited School of Nursing Required
  • 7 years of clinical experience in a healthcare setting using electronic medical records or acute hospital utilization review using InterQual or Milliman Required
  • Previous experience with medical record auditing with medical necessity claims Required
  • Experience in clinical software such as SCM / Quest, STAR, EPIC, Client Tracking, and I-Suites is Preferred
  • Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License Required

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