Ohio Licensed Denial RN

Job Summary

A company is looking for a Senior Specialist Denial RN.

Key Responsibilities

• Prepare appeals for clinical and technical claim denials across client hospital facilities
• Review medical records and determine the necessity for appeals, ensuring compliance with regulations
• Mentor and provide training to Clinical Denial and Underpayment team members

Required Qualifications, Training, and Education

• Registered Nurse (RN) required
• CRCR certification required within 9 months of hire
• 5 to 7 years of relevant experience
• Associate's Degree in Nursing or equivalent experience required
• Typing proficiency of 45 words per minute (error adjusted) required