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RN / Registered Nurse - Team Leader Provider Medical Appeals- Claims- Medical Policy at Promedica in Maumee, OH



$80K — $100K *




5 - 7 years

Job Description

Thank you for inquiring about a position with Paramount. We are a NCQA accredited managed care plan, which is part of ProMedica's integrated healthcare system with offices in Maumee, Columbus, Cleveland, and Cincinnati. Paramount provides health insurance coverage for Medicare, Medicaid, and Commercial members. For mored well-being. So we're committed to your wellness with various initiatives, such as preventive services, online knowledge, health risk assessments, our Steps2Health disease management programs, health fairs, and more.

The Claims Team Leader Provider Medical Appeals is responsible for the day-to-day operations, supervision, training, and planning. Responsible for staff selection and discipline. Has oversight responsibility provider medical bundling appeals as result of bundling logic applied to a claim. This position reports directly to the Claims Director. May have daily interaction with Medical Policy Analyst, Senior Medical Director, associate medical director

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Valid through: 7/7/2020

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