Health Services
The Appeals Registered Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines. The role involves collaborating with Appeals Examiners and Representatives to ensure timely and accurate medical reviews of redeterminations. This position requires a strong understanding of healthcare regulations, clinical guidelines, and appeals processes to support resolution and compliance.
Patient-centered healthcare enhancing the lives of individuals and families by providing access to affordable comprehensive health and wellness services.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Health Services.
23% below the average for this role