Appeals Nurse
Blue Cross Blue Shield of Massachusetts(1 day ago)
About this role
The Appeals Nurse Reviewer role involves facilitating, coordinating, and responding to provider appeals for denied healthcare services, utilizing extensive clinical, regulatory, and coding knowledge to resolve claims. The position works collaboratively with various departments to ensure accurate adjudication of claims appeals.
Required Skills
- Coding
- Claims Review
- Nursing
- Medical Necessity
- HCPCS
- CPT
- ICD-10
- Billing
- Regulations
- Analysis
Qualifications
- RN License
- Certified Coder (CPC, CCS)
About Blue Cross Blue Shield of Massachusetts
bluecrossma.orgBlue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App
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