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ALJ Appeals Professional - Licensed Nurse

Company: VirtualVocations
Location: Manchester
Posted on: October 23, 2024

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, Manchester , ALJ Appeals Professional - Licensed Nurse, Healthcare , Manchester, New Hampshire

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