Appeals RN - Full-time / Part-time

Description of Duties: Ability to review provider and member appeals of denials of medical care and make appropriate determinations based on documentation presented by appealing agent with references to federal, state, and local regulations and procedures based on line of business in a timely manner.

Excellent interpersonal skills and attitude to effectively project a positive image of managed care programs by being courteous, helpful, friendly, and professional in relationships with enrollees, families and co-workers.

Ability to be self-motivated and able to work independently to assess situations and respond appropriately ,make independent decisions and the ability to initiate and implement policy and procedure as written.

Ability to respond effectively with appealing agent by modifying template letters.

8am-4:30pm M-F

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.