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Remote Registered Nurse Clinical Denials Specialist in Altamonte Springs

Job is Expired
Location: Florida
Compensation: To Be Discussed
Staff Reviewed: Fri, Nov 01, 2019
Job Category: Case Management, Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced
Education Level: Bachelors

Job Summary

A faith based healthcare organization is seeking a Remote Registered Nurse Clinical Denials Specialist in Altamonte Springs.

Core Responsibilities of this position include:

  • Obtaining further patient information to be used in the appeals process
  • Conducting patient account history research
  • Discussing or educating others on proper documentation, payer processes, and policies, and clinical denial trends

Skills and Requirements Include:

  • Minimum of three (3) years' experience as Registered Nurse (RN) in an acute clinical setting
  • RN with Bachelor's Degree in Nursing, Management or related healthcare field.
  • Current and valid RN license
  • Knowledge of InterQual and/or MCG as well as CMS LCD/NCD documentation

COMPLETE JOB DESCRIPTION

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