Working as an Appeal Nurse, we cater providers appeals specifically in CA, NV and CO. Providers claim who was initially denied, we are the one who do the appeals review. We must have to make sure that their claims were valid so we can proceed in reviewing the case. Once we are done, we send the case to a MD who specializes the case. Once the MD has the decision (Upheld, Overturned/Partially Overturned), we make sure everything is correct and finally the last one that we do is send the decision letter to the providers.
Experience: 5 - 10 years
It was a great and life changing experience
Experience: 1 - 2 years
Working in a tech field was very challenging but if you were able to solve a specific issue, then that is very fulfilling.
Experience: 2 - 5 years
It was very exciting, challenging but it taught me a lot of things I need for this job
“My Filipino specialist who is absolutely amazing..go get your OFS today!”
Eden Einav
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