LHH ยท 4 hours ago
Quality Assurance Specialist
Tempe, AZ
Full-time
Onsite
Mid Level
$70K/yr - $105K/yr
3+ years expLHH is seeking an experienced RN to review denied claims, determine medical necessity, and prepare strong clinical appeals. This role partners closely with clinical teams, hospitals, and patient advocacy staff to ensure accurate, timely, and compliant appeal submissions.
Human Resources
Responsibilities
Review clinical records and write medical necessity appeals
Collaborate with field clinicians to resolve documentation gaps
Request and organize supporting medical records
Communicate with hospitals and patient advocacy teams
Ensure compliance with payer, state, and federal guidelines
Track trends, identify issues, and support quality initiatives
Qualification
Required
Active Arizona RN license (required)
A minimum of 3+ years RN clinical experience
Associate's or Bachelor's Degree in Nursing (ASN/BSN)
Air Ambulance, Critical Care, or ER experience
A minimum of 2 years of claims review or appeals-writing experience
Strong communication skills and ability to manage high-volume work
High attention to detail and strict adherence to HIPAA
Benefits
Comprehensive Benefits including medical, dental, vision, life insurance, disability, legal services, pet insurance & more.
Company
LHH
At LHH, we believe work should be meaningful, fulfilling, and connected.
10001+ employees
H1B Sponsorship
LHH has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Dave Hilbig
President & CEO, OCM-LHH Utah, Wyoming
Ted Diven, MBA
CEO - OCM / Lee Hecht Harrison (ID, MT, NV)
Recent News
24-7 Press Release Newswire
2025-05-17
Company data provided by crunchbase