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RN Clinical Claims Review – Utilization & Appeals
Job in
City of Albany, Albany, Albany County, New York, 12201, USA
Listed on 2026-02-07
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-02-07
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
A leading healthcare organization is seeking a Registered Nurse for medical claims and internal appeals review. The role requires at least 2 years of clinical nursing experience and proficiency in medical coding. Responsibilities include facilitating medical reviews, validating claims, resolving escalated complaints, and ensuring compliance with regulations. Candidates must possess strong analytical, organizational, and communication skills, making this an essential role in delivering quality member care.
This position offers a competitive hourly wage range of $29.05 - $67.97.
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