Job Description

One of our clients on the Southside area ofJacksonville, FL has an immediate need for a Healthcare Appeals Analyst RN. The perfect candidate will have the following skills and experience:
  • Apply medical knowledge and expertise in reviewing claims and provider
  • inquiries 
  • Render medical decisions on, claims and proper coding and billing, identifying
  • questionable medical practices, 
  • Document findings and render medical decision in various BCBSF systems 
  • Manage medical review inventory, to include resolving workflow problems and
  • identifying continuous improvement opportunities 
  • Identify formal education opportunities and needs for providers and their
  • staff and communicate these needs to appropriate departments 
  • Follow regulatory requirements 
  • Project work as needed 
  • Moderate keying required
  • Must have coding experience with physician claims. Previous billing and coding appeals experience is a plus.
If you believe that your skills and experience are a match for this position, please e-mail your resume to, or apply on line at (search jobs). 
If you have any questions, please call 904-998-9414 and reference Healthcare AAppeals Analyst RN position.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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