RN Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist II - RN (REMOTE).

Key Responsibilities

• Reviews and resolves pre-payment insurance denials in collaboration with follow-up teams
• Coordinates with various teams to ensure payer accountability and identifies education opportunities
• Tracks and logs denials and appeal activity, preparing reports on appeal trends and payer response activity

Required Qualifications

• H.S. Diploma or GED required
• Bachelor's Degree in Nursing preferred
• 2-4 years of experience in healthcare revenue cycle or business office required
• 1-3 years of experience in healthcare insurance or medical billing preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required