Careers with Intersect Healthcare

Clinical Appeals Writer

Here at Denial Research Group/AppealMasters, we are always seeking experienced nurses with superior and persuasive clinical writing skills to author medical necessity appeals for Medicare, Medicaid, and Commercial audited and denied claims!

What you’ll do:

• Conduct a thorough review of the medical documentation submitted and the applicable Medicare, Medicaid, or Commercial determinations and policies, including but not limited to National Coverage Determinations, Local Coverage Determinations, Internet Only Manuals, and Clinical Policy Bulletins.
• Render a determination for appeal in accordance with published guidelines including medical necessity and appropriate utilization of services.
• Communicate on a regular basis with the appeals director during the appeal process.
• Commit to regularly working 25 or more hours per week.

What we are looking for:

• Minimum Education: Associate’s Degree RN
• Minimum Clinical Experience: 2 years
• Required and Preferred Credentials: RN, PA, LNC, CM, UR, NP, MD
• Prior insurance denial and appeals experience
• Excellent writing skills!

This is a remote, independent contract position, perfect for the stay-at-home mom or dad, those on required light duty, or if you are retired or semi-retired. Competitive hourly rate

Please submit CV, cover letter and HIPAA-compliant writing sample to careers@intersecthealthcare.com

(We are specifically interested in seeing your experience synthesizing clinical information/argument from multiple sources.)

Coding Appeals Expert

Home-based forensic coding/chart reviews and author winning appeals

We are also seeking opinionated, experienced coding auditors and/or appeal writers with superior and persuasive clinical review and writing skills to author clinical coding appeals in response to government and commercial coding denials!

What you’ll do:

You will use state-of-the-art web-based technology to connect to Intersect Healthcare’s appeal management system.
Your role would be to perform forensic coding/chart reviews and author winning appeals for our provider clients.

What we are looking for:

Candidates must have a coding certification held with a nationally recognized coding certification organization.
Minimum of 3 years experience auditing and/or coding inpatient or ambulatory care records with the following credentials: RHIA, RHIT, or RN/MD/DO with CCS or CPC-H.
Bachelor’s degree preferred but less would be considered if accompanied with very strong writing skills.
Prior Medicare and Commercial coding denial and appeals experience is highly preferred but not required.

As this is also a remote, contract opportunity, this position is also perfect for the at-home mom or dad, those on medical leave or required light duty. Please submit a cover letter, your CV and a HIPAA-compliant appeal writing sample to careers@intersecthealthcare.com. (Specifically, we are interested in seeing how you support your argument using coding guidance.)

We offer paid product training for the right personality.

Clinical Appeal Physician 

Denial Research Group (AppealMasters) is seeking talented Hospitalists/Physicians who have past appeal writing experience, to craft an articulate clinical argument on behalf of our client hospitals.  We provide excellent paid training, advanced technologies and clinical content to ensure you have the tools to go toe-to-toe with managed care payers, MCO Medical Directors and their denial tactics.

This is a remote, Independent Contract position that requires a minimum commitment of twenty-five hours per week.  This position is ideal for a hospitalists or physician who is retired or semi-retired (working less then full time), the stay at home mom or dad raising a young family, or someone who is caring for a loved one at home.

To apply, please submit a CV and two writing samples that portray your skills to carry an argument forward (no PHI, please) to careers@intersecthealthcare.com.