Licenses and Certifications - Required * RN - Licensed Registered Nurse_PA - State of Pennsylvania ... All colleagues, including those who work less than part-time (including per diem colleagues ...
Licenses and Certifications - Required * RN - Licensed Registered Nurse_PA - State of Pennsylvania ... All colleagues, including those who work less than part-time (including per diem colleagues ...
DEI Advisor (Remote)
Philadelphia, PA · Remote
Per Diem Description: The Calling All Allies Project team is comprised of organizational ... data-driven, and inclusive workplaces. The main focus of this position is to support our client ...
DEI Advisor (Remote)
Philadelphia, PA · Remote
Per Diem Description: The Calling All Allies Project team is comprised of organizational ... data-driven, and inclusive workplaces. The main focus of this position is to support our client ...
Data Architect, Healthcare Payer
Newtown Square, PA · On-site +1
$61 - $78.50/hr
WE WILL NOT CONSIDER REMOTE CANDIDATES! Role Overview The Data Architect is responsible for ... You will work 3 days per week in the office (Tuesday, Wednesday and Thursday), and 2 days remotely ...
Data Architect, Healthcare Payer
Newtown Square, PA · On-site +1
$61 - $78.50/hr
WE WILL NOT CONSIDER REMOTE CANDIDATES! Role Overview The Data Architect is responsible for ... You will work 3 days per week in the office (Tuesday, Wednesday and Thursday), and 2 days remotely ...
Responsible for collecting data to ensure the completion of a project: * Locating boundary, pins ... Per diem for any overnight stay * Overtime incentives * Possible year-end bonuses based on ...
Quick apply
Responsible for collecting data to ensure the completion of a project: * Locating boundary, pins ... Per diem for any overnight stay * Overtime incentives * Possible year-end bonuses based on ...
Case Manager Registered Nurse - Field (Camden County, NJ)
Camden, NJ · Remote
$66K - $142K/yr
Uses clinical tools and information/data review to conduct an evaluation of member's needs and ... Mileage is reimbursed per our company expense reimbursement policy. The protection and security of ...
Case Manager Registered Nurse - Field (Camden County, NJ)
Camden, NJ · Remote
$66K - $142K/yr
Uses clinical tools and information/data review to conduct an evaluation of member's needs and ... Mileage is reimbursed per our company expense reimbursement policy. The protection and security of ...
Registered Dietitian (RD) - 100% Remote Telehealth
Philadelphia, PA · Remote
$40 - $44/hr
Guaranteed 20, 25, or 30 hours per week available( not dependent on patient volume) Flexibility: 100% remote, telehealth-based role with a flexible work-from-home schedule Pay: Competitive hourly ...
Quick apply
Registered Dietitian (RD) - 100% Remote Telehealth
Philadelphia, PA · Remote
$40 - $44/hr
Guaranteed 20, 25, or 30 hours per week available( not dependent on patient volume) Flexibility: 100% remote, telehealth-based role with a flexible work-from-home schedule Pay: Competitive hourly ...
Registered Dietitian (RD) - 100% Remote Telehealth
Philadelphia, PA · Remote
$40 - $44/hr
Guaranteed 20, 25, or 30 hours per week available( not dependent on patient volume) Flexibility: 100% remote, telehealth-based role with a flexible work-from-home schedule Pay: Competitive hourly ...
Registered Dietitian (RD) - 100% Remote Telehealth
Philadelphia, PA · Remote
$40 - $44/hr
Guaranteed 20, 25, or 30 hours per week available( not dependent on patient volume) Flexibility: 100% remote, telehealth-based role with a flexible work-from-home schedule Pay: Competitive hourly ...
This position has flexibility to be remote, with occasional trainings on site. The Service Line ... RN License Required Or
This position has flexibility to be remote, with occasional trainings on site. The Service Line ... RN License Required Or
Technical Video Data Specialist - Remote
Philadelphia, PA · Remote
$13 - $15/hr
Data-Video Generalist Job Type: Contractor Location: Remote - based in Alabama, Alaska, Arkansas ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
Technical Video Data Specialist - Remote
Philadelphia, PA · Remote
$13 - $15/hr
Data-Video Generalist Job Type: Contractor Location: Remote - based in Alabama, Alaska, Arkansas ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · On-site +1
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · On-site +1
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
Quick apply
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on ...
First-Person Video Data Collector - Remote
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
First-Person Video Data Collector - Remote
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
Mobile Data Collector (AI Training) - Remote
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
Mobile Data Collector (AI Training) - Remote
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
This is a remote executive leadership position with approximately 25% travel. Candidates located in ... Active Registered Nurse (RN) license in good standing. Executive Experience * Minimum of 10 years ...
This is a remote executive leadership position with approximately 25% travel. Candidates located in ... Active Registered Nurse (RN) license in good standing. Executive Experience * Minimum of 10 years ...
AI Data Collector (Motion & Video)
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
AI Data Collector (Motion & Video)
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
Registered Dietitian (Part-Time) - Pennsylvania Licensed (Remote - US)
Philadelphia, PA · On-site +1
$50/hr
Current Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN) credentialed by the ... The pay range for this role is: 50 - 50 USD per hour (Remote (Philadelphia, Pennsylvania, US)
Registered Dietitian (Part-Time) - Pennsylvania Licensed (Remote - US)
Philadelphia, PA · On-site +1
$50/hr
Current Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN) credentialed by the ... The pay range for this role is: 50 - 50 USD per hour (Remote (Philadelphia, Pennsylvania, US)
Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... Build your own book of clients -- treating a minimum of 5 clients per month, sourced from your ...
Quick apply
Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... Build your own book of clients -- treating a minimum of 5 clients per month, sourced from your ...
Aesthetic Nurse Practitioner
Philadelphia, PA · On-site +1
Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... Build your own book of clients - treating a minimum of 5 clients per month, sourced from your ...
Aesthetic Nurse Practitioner
Philadelphia, PA · On-site +1
Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... Build your own book of clients - treating a minimum of 5 clients per month, sourced from your ...
AI Data Collection Specialist - Video (Remote)
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
AI Data Collection Specialist - Video (Remote)
Philadelphia, PA · Remote
$13 - $15/hr
Remote - based in Alabama, Alaska, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Illinois ... You will be paid per hour of recorded video that you submit that is in line with project guidelines.
Per Diem Remote Rn Data Abstractor information
See Cherry Hill, NJ salary details
$7.37 - $13.18
0% of jobs
$13.18 - $18.99
0% of jobs
$18.99 - $24.80
4% of jobs
$24.80 - $30.62
18% of jobs
$31.38 is the 25th percentile. Wages below this are outliers.
$30.62 - $36.43
20% of jobs
The median wage is $38.82 / hr.
$36.43 - $42.24
18% of jobs
$47.47 is the 75th percentile. Wages above this are outliers.
$42.24 - $48.05
16% of jobs
$48.05 - $53.87
10% of jobs
$53.87 - $59.68
6% of jobs
$59.68 - $65.49
4% of jobs
$65.49 - $71.30
3% of jobs
$7
$41
$71
How much do per diem remote rn data abstractor jobs pay per hour?
What are the key skills and qualifications needed to thrive as a per diem remote RN data abstractor?
What is a per diem remote RN data abstractor?
What are some common challenges faced by a per diem remote RN data abstractor, and how can these be managed effectively?

Clinical Appeals Nurse - Full Time Remote - Jefferson Health
Philadelphia, PA • On-site, Remote
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 28 days ago
Jefferson Health rating
7.7
Based on 348 frontline employees who took The Breakroom Quiz
161st of 887 rated healthcare providers
Job description
Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish medical necessity. Functions as a hospital liaison with external third-party payors to appeal denied claims. Works closely with Physician advisor team to facilitate appeals to payors. Monitors and reports payor trends to management team.
Job Description
Clinical Appeals Nurse - Full Time Remote - Jefferson Health
Articulates the job's main responsibilities. This is not intended to be an exhaustive list of all essential functions or all duties performed. The essential functions listed below and percentage of time may vary between departments and locations, and are subject to change based on management discretion and organizational needs. Other responsibilities may be assigned at the discretion of management to meet organizational needs.
- Creates an appeal letter to uphold the procedure based on medical policy guidelines of the payor and the documentation found in the hospital/physician information system.
- Facilitates write off accounts that cannot provide adequate medical necessity or documentation for the payor to meet their guidelines.
- Investigates and coordinates completion of patient records required to retrospectively precertify accounts and appeal insurance denials.
- Contacts insurance companies and conducts appeals via telephone or email.
- Coordinates appeals that need a physician's input for the payor and writes off claims that have no further appeal rights.
- Identifies areas for revenue loss due to documentation or processes not being reimbursable thru payors.
- Ensures that all appeals are sent to the correct payor within the appeal guidelines.
- Ensures compliance with regulatory and accrediting requirements.
- Reviews claim documentation and pulls supporting medical documentation from the system to support the medical policy guidelines of the payor.
- Searches for supporting clinical evidence to support appeal arguments when existing resources are unavailable.
Qualifications:
The requirements listed below are representative of the knowledge, skill, and/or ability required or preferred.
Education - Required
- Bachelor's Degree Nursing or
- Specialized Diploma
Experience - Required
- 10 years of clinical or case management/utilization review experience
Knowledge, Skills and Abilities - Required
- Ability to read medical charts and identify deficiencies in documentation content.
- Ability to adapt to ongoing changes within the health insurance industry in order to effectively implement positive changes.
- Knowledge of Interqual/medical policy criteria, case management principles, utilization review, and hospital departmental procedures.
- Knowledge of coding for payment of claims.
- Insurance knowledge of payors and their unique rules.
- Epic workflow experience with notes in account history and WQ workflows.
- Intermediate Excel and MS Word experience.
- Must complete RCE Training and pass test with 80% or better.
Licenses and Certifications - Required
- RN - Licensed Registered Nurse_PA - State of Pennsylvania
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Thomas Jefferson University
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
What Jefferson Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Jefferson Health
Sourced by ZipRecruiter
Jefferson Health is a revered name in the healthcare sector, based in Philadelphia, Pennsylvania, US. This nonprofit health system is dedicated to delivering high-quality, compassionate clinical care and services across the region. The organization was founded in 1824 as Jefferson Medical College, and over the years, it has grown into a vast network of physicians and specialists, hospitals, outpatient and urgent care facilities. Offering a comprehensive range of healthcare services, Jefferson Health covers areas including cancer care, neuroscience, orthopedics, and cardiovascular care, among others. The organization's mission is to improve lives by promoting overall health and wellness, emphasizing value-based care, and making innovative medical advancements. Besides, one of their notable achievements includes being recognized by the National Academy of Medicine as a national leader in patient safety improvements.
Industry
Hospitals and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Philadelphia, PA, US