Appeals Nurse Specialist Salary in Alabama - State Average

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Average Salary for Appeals Nurse Specialist in Alabama - State Average

The average salary of a(n) Appeals Nurse Specialist in Alabama - State Average is $63,910.

The average hourly rate of a(n) Appeals Nurse Specialist in Alabama - State Average is $30.73.

The average bonus of a(n) Appeals Nurse Specialist in Alabama - State Average is $971.00.

Job Description:

Investigates and researches time-sensitive appeals cases regarding medical health needs, patient care issues, transportation, medications, durable medical equipment, or home care by using medical investigative skills. Maintains liaison with enrollees in a health plan and providers, pharmacies, and other medical entities involved in the appeals process. Organizes cases to ensure timely completion and to avoid fines or penalties that may be imposed. Requires RN or LVN license. Researches, investigates, and resolves issues identified in correspondence. Reviews contract language and medical record documentation from contracted providers, non-contracted providers, and outside entities. Serves as contact person with enrollees and providers during the investigation of appeals. Documents and summarizes the investigation's result. May prepare appeal correspondence. Less

Investigates and researches time-sensitive appeals cases regarding medical health needs, patient care issues, transportation, medications, durable medical equipment, or home care by using medical investigative skills. Maintains liaison with enrollees in a health plan and providers, pharmacies, and other medical... More

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