UM RN Appeals Coordinator - Work from Home
Sagility(7 days ago)
About this role
Sagility is seeking a remote UM RN Appeals Coordinator responsible for reviewing and resolving medical claims and appeals, ensuring compliance with regulations and policies. The role involves collaboration with healthcare professionals, documentation, data analysis, and internal reporting to support member appeals and dispute resolutions.
Required Skills
- RN
- Claims Processing
- Medical Terminology
- Utilization Management
- Electronic Medical Records
- Healthcare Systems
- Documentation
- Communication
- Regulatory Compliance
Qualifications
- RN license in an eNLC state
- 3+ years Nursing experience
- 1+ years Utilization Management experience
About Sagility
sagilityhealth.comSagility delivers end-to-end healthcare BPO, revenue cycle management, and clinical support services for providers and payers. Explore our full-service model.
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