New York Licensed Clinician

Job Summary

A company is looking for a Clinician, Denials Management - Remote.

Key Responsibilities

• Maintain the integrity of information in appeals and ensure medical accuracy
• Research payer denials and make workflow improvement recommendations
• Identify process improvement opportunities and participate in initiatives

Required Qualifications

• 4-year degree required
• Must be a Registered Nurse with clinical experience
• Experienced in medical chart review and hospital nursing
• Basic knowledge of MS Excel and ability to learn proprietary databases
• Ability to meet ongoing deadlines and work cooperatively under pressure