- Molina Healthcare (Tampa, FL)
- …for a RN with experience with appeals , claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review ... resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical … more
- Banner Health (FL)
- …from federal, state and commercial reimbursement programs. Provides leadership in clinical , financial, and personnel management within the department to result in ... overall reduction in payer clinical denials. Collaborates with Care Coordination, physician, Utilization Review, and other internal/external departments to overturn… more