BASF
10,000+ employees
Founded 1865
🌾 Agriculture
Chemicals • Agriculture • Healthcare
BASF is a global chemical company that operates across multiple sectors, providing a wide range of products and solutions. The company is focused on innovation and sustainability, serving industries such as agriculture, automotive, construction, electronics, energy, and healthcare. With a commitment to research and development, BASF aims to create chemicals that enhance the quality of life and support sustainable practices worldwide.
Medical Review Clinical Appeals Auditor, RN
Job not on LinkedIn
🕒 March 31
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BASF
10,000+ employees
Founded 1865
🌾 Agriculture
Chemicals • Agriculture • Healthcare
BASF is a global chemical company that operates across multiple sectors, providing a wide range of products and solutions. The company is focused on innovation and sustainability, serving industries such as agriculture, automotive, construction, electronics, energy, and healthcare. With a commitment to research and development, BASF aims to create chemicals that enhance the quality of life and support sustainable practices worldwide.
📋 Description
• Conduct Appeals reviews of new evidence presented by auditees • Document Appeals results according to quality policies • Review audit documentation and conduct research • Provide corrections to rationale correlating with audit determinations • Contribute to continuous improvement feedback processes • Monitor, track, and report all work conducted
🎯 Requirements
• Active unrestricted RN license in good standing • At least 5+ years relevant experience in a provider or payer environment • Strong technical aptitude and intermediate to advanced skills using Excel • ICD-9/ICD-10 coding knowledge • Experience in health care claims that demonstrates expertise in bundled payment methodologies and/or medical billing • Familiarity with interpreting electronic medical records (EHR)
🏖️ Benefits
• Medical insurance • Dental insurance • Vision insurance • HSA/FSA options • Life insurance coverage • 401(k) savings plans • Family/parental leave • Paid holidays • Paid time off annually
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