Clinical Denials and Appeals Registered Nurse

Job is Expired

Location: Nationwide

Compensation: Salary

Reviewed: Wed, Sep 06, 2023

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A company is looking for a Clinical Denials and Appeals Registered Nurse.

Key Responsibilities:

Conduct comprehensive Denial Root-cause analysis
Perform retrospective Medical Record reviews to ensure documentation supports medical necessity
Coordinate pre-service authorization approvals and construct warranted appeals

Required Qualifications:

Current Registered Nursing License
Minimum of 5 years clinical experience
Clinical Denials Experience required
Familiarity with medical records assembly and clinical terminology
Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service

COMPLETE JOB DESCRIPTION

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Job is Expired

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