Job Summary

A healthcare receivables company is in need of a Remote Registered Nurse Utilization Review Appeals Specialist.

Candidates will be responsible for the following:

• Creating detailed clinical analyses and appeal letters for denials from payer to support payment of patient claims
• Reviewing medical record documentation to verify medical necessity issues
• Managing Inventory and Following up on accounts as appropriate

Position Requirements Include:

• Licensed RN
• At least 2 years' experience in an acute care hospital required
• Proficient typing and computer skills essential