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Clinical Appeals Specialist in Boise, ID for St. Luke's Health System
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Clinical Appeals Specialist
OverviewSt. Luke's Health System in seeking a Clinical Appeals Specialist 1 to join our team. Unit/Position SummaryUnder close supervision, the Clinical Appeals Specialist 1, assists in reviewing, gathering and formatting data to be submitted in regards to client medical denials.Responsibilities Assists in the review process of patient medical records to determine why cases are denied and whether an appeal is required. Prepares routine appeal arguments, as necessary. Assists in verification of documents, coding and clinical account review. Compiles and keeps up to date on state and federal guidelines, advisory opinions, bulletins, and other communication related to the revenue cycle. Assists in


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Case Management Society of America
5034A Thoroughbred Lane
Brentwood, TN 37027