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Gainwell Technologies LLC
Overview
The DRG Nurse Reviewer Appeals and Hearings coordinates and performs all appeal-related duties, including analyzing and responding to provider appeals and preparing case files for hearings. The role also involves participating in hearings and assisting in training new reviewers.
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Compensation
$90,000 - $99,000 / YEAR
Posted
8 days ago
Methodist Family Health
The Utilization Review Tech manages client service authorizations, tracks quality performance data, and coordinates with insurance providers to ensure efficient patient care. They also handle failed claims, maintain electronic medical records, and assist with the preparation of documentation for appeals and hearings.
Salary not listed
3 months ago
