LVN Appeals Specialist - Houston, TX

Employment Type

: Full-Time

Industry

: Healthcare - Nursing



CLINICAL APPEALS - LVN Kelly Services has an exciting opportunity for a Clinical Appeals - LVN to come work with our client located in Houston, TX. ROLES AND RESPONSIBILITIES

  • Sends out written communication to members and/or providers within CMS Appeals and Grievance and appeals time frames.

  • Communicates with organizations (regulatory agencies, contracted providers, etc.) and members to request and submit information as appropriate.

  • Maintains current knowledge of Appeals and Grievance requirements and changes required by CMS.

  • Complete accurate Appeals and Grievances cases as required by CMS within regulatory timeframes.

  • Facilitates the resolution of member/provider problems while acting in accordance with plan policies and guidelines.

  • Actively demonstrates excellent customer service to both external and internal customers

REQUIRED QUALIFICATIONS

  • Current/active Texas LPN License

  • Appeals/Grievances Experience

  • Computer literate. This includes simultaneous use of multiple programs and applications.

HOW TO APPLY This position is recruited for by a remote Kelly office, not your local Kelly branch. To apply for this opportunity please utilize the “Apply Now/Submit Resume” button. Every day, Kelly Healthcare Resources (KHR) specializes in providing highly skilled nursing and allied health professionals within hospitals and other health care facilities, as well as positions in sectors such as insurance, pharmaceutical, health management and education. Related Search Terms: Appeals, Appeals Specialist, LVN Nurse Appeals Specialist, Chart Reviewer, Chart Abstraction, clinical appeals#LI-KS262



Why Kelly®?

As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.




About Kelly®

At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.



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