Job Summary

A faith-based healthcare organization is filling a position for a Remote Clinical Denials Management Specialist in Maitland.

Individual must be able to fulfill the following responsibilities:

• Review accounts assigned via work list daily
• Obtain further patient information to be used in the appeals process
• Provide reports, education, and training on identified clinical denial trends

Must meet the following requirements for consideration:

• Bachelor’s in related field such as nursing, management, or business administration
• 3 years’ experience as Registered Nurse (RN) in an acute clinical setting
• Current and valid RN license
• Experience in Denial Management, Utilization Review, Case Management, or similar