Florida Licensed Clinical Denial Nurse

Job Summary

A company is looking for a RN Clinical Denial Recovery Analyst.

Key Responsibilities

• Complete, track, and report clinical denials at an enterprise level
• Review denied claims from a clinical perspective and appeal for maximum reimbursement
• Support Revenue Cycle functions across various departments including finance and compliance

Required Qualifications

• High School Diploma or GED required; BSN preferred
• Active RN or LPN license in the State of Florida required
• 2-3 years of clinical experience for RN or 3-5 years for LPN required
• Coding, medical record review, auditing, or insurance experience preferred
• CPC, COC, RHIT, RHIA, or CCS certification preferred