RN Licensed Clinical Claims Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 16, 2025
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Job Description:
A company is looking for a Clinical Claims Nurse.
Key Responsibilities
Review medical records and write clear, concise dispute resolution
decisions
Make independent decisions based on medical evidence and relevant
regulations
Conduct research to support accurate decision-making and stay
updated on regulatory changes
Required Qualifications
Associate's degree or 60+ credit hours towards a Bachelor's degree
in healthcare or related discipline
RN or LLP license required
Three years of experience in medical dispute resolution or related
healthcare settings
Experience in Nursing, Physical Therapy, Respiratory Therapy, or
Occupational Therapy preferred
Demonstrated experience in writing appeal or payment determinations
preferred
Keywords: VirtualVocations, Downey , RN Licensed Clinical Claims Nurse, Healthcare , Vista, California
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