ALJ Appeals Professional - Licensed Nurse
Company: VirtualVocations
Location: Jersey City
Posted on: October 29, 2024
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Job Description:
A company is looking for an ALJ Appeals Professional IV to
perform complex work related to Medicare appeals.
Key Responsibilities
Participates in ALJ hearings and provides written or verbal
testimony
Reviews medical records and writes clear, impartial Reconsideration
decisions
Conducts research to support accurate and well-supported decisions
based on medical evidence
Required Qualifications
Bachelor's degree from an accredited college or university
Active license as a Physical Therapist, Nurse Practitioner,
Physician Assistant, Registered Nurse, or Occupational
Therapist
Seven years of direct patient care experience
Experience in making medical necessity decisions and Medicare
knowledge
Preferred experience testifying in legal proceedings or as an
expert witness
Keywords: VirtualVocations, Parsippany-Troy Hills Township , ALJ Appeals Professional - Licensed Nurse, Healthcare , Jersey City, New Jersey
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