Appeals and Denials Nurse
$36 - $40 per hourNorwood
Get AI-powered advice on this job and more exclusive features. At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-Revenue Cycle management within the healthcare industry. Our team of experts have placed thousands of professionals that support organizations ranging from small, community-based hospitals to the largest healthcare systems in the nation. Our mission? Bringing health to hospitals’ bottom lines. No need to job hop or worry about your next assignment when you work for Norwood! Our goal is to help you find long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to sharpen your skills, we want to connect with you! What can you expect from your Norwood experience? Personalized recruiter relationships Industry Subject Matter Experts A sales department with reliable client relationships nationwide Remote opportunities that allow for positive life/work balance Permanent opportunities are available Travel expenses are covered upfront (if travel is required) Full time employees enjoy 6 paid holidays, PTO and health benefits Our requirements: RN or FMG: CDIP, CCDS, CCS and/or ICD-10 Certification or Trainer designation Must have strong background in CDI and have experience with inpatient appeals letters Responsibilities: Reviews and completes continuous daily work queue volume of denials. Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs) Analyzes work queues and other system report and identifies denial/non-payment trends Maintains open communication with third party payor representatives to resolve claim issues. Identifies, reviews, and interprets third party denials Initiates corrected claims and appeals according to payer guidelines. Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines. Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written. Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor. Meets productivity standards or consistently exceeds productivity standards We are a small company with big company advantages! Norwood currently has several openings for HIM/coding professionals with inpatient or outpatient experience. Apply today to be connected with one of our specialized recruiters who can help you achieve your medical coding career goals and needs! Applicants must be authorized to work in the US. We are unable to sponsor or take over sponsorship for any employment visas at this time. Seniority level Seniority level Not Applicable Employment type Employment type Full-time Job function Job function Health Care Provider Industries Staffing and Recruiting, Hospitals and Health Care, and Health and Human Services Referrals increase your chances of interviewing at Norwood by 2x Inferred from the description for this job Medical insurance 401(k) Child care support Paid maternity leave Get notified when a new job is posted. Sign in to set job alerts for “Nurse” roles. Telehealth Registered Nurse- REMOTE September 2025 Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 2 weeks ago United States $70,000.00-$100,000.00 1 week ago San Francisco, CA $39.00-$60.00 1 month ago Transitions of Care - RN, 100% Virtual, CareBridge United States $68,880.00-$108,240.00 2 weeks ago New York, United States $80,000.00-$100,000.00 2 months ago Manhattan, NY $85,000.00-$95,000.00 1 month ago Clinical Review Nurse - Prior Authorization Clinical Review Nurse - Prior Authorization Clinical Review Nurse - Prior Authorization Texas, United States $36.00-$40.00 2 weeks ago Clinical Review Nurse - Prior Authorization Registered Nurse - Clinical Denials/Appeals - Remote District of Columbia, United States $68,000.00-$113,000.00 1 day ago Idaho, United States $25.00-$35.00 5 days ago United States $80,000.00-$85,000.00 2 weeks ago Florida, United States $55,100.00-$99,000.00 2 weeks ago Clinical Review Nurse - Prior Authorization Texas, United States $26.50-$47.59 1 day ago Florida, United States $55,100.00-$99,000.00 2 weeks ago Florida, United States $55,100.00-$99,000.00 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Norwood
- ...Luke's in the United States is seeking a Denials Management Specialist to join our remote... ...denials, medical necessity reviews, and appeals for insurance payers. You will collaborate... ...reimbursements. Qualified candidates will have nursing experience, RN license, and 2–5 years in...SuggestedRemote work
RAIL-WAY INC
New York, NY11 hours ago $23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice on this job and more exclusive features. Base pay range $23.00/hr - $31.00/hr Professional Billing Denials & Appeals Analyst Full-Time | Remote (with location restrictions) Healthcare Revenue Cycle |...SuggestedRemote jobHourly payFull timeWeekday work- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...SuggestedRemote work
Healthfirst
New York, NY1 day ago - ...Representatives supporting behavioral health, mental health, and ophthalmology practices. This fully remote role focuses on insurance follow-up, denial resolution, and recovering unpaid or underpaid claims. You will research claim issues, communicate with payers, and drive accounts...SuggestedRemote job
- ...Manager - RN to secure complex pre-authorizations and prevent denials. You will apply clinical knowledge to determine appropriate care... ...become a SME for assigned payers, with responsibilities spanning Appeals, Utilization Management, and collaboration with Legal and...SuggestedRemote job
$28.85 - $35 per hour
...Scion Staffing has been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue... ...specific workflows. You will manage assigned denial queues, submit appeals, and follow claims through to final resolution while...Hourly payTemporary workInterim roleRemote workFlexible hoursScion Staffing
New York, NY3 days ago- Ditmas Park Nursing & Rehab in New York is seeking a Managed Care Authorization & Appeals Coordinator. The role focuses on managing insurance authorizations, submitting clinical documentation, handling Medicare non-coverage notices, and pursuing insurance appeals for residents...
- CrewBloom seeks a detail-oriented medical billing assistant to help prepare and submit appeals, review EOBs, and ensure accurate CPT/ICD coding under guidance. The role supports workers’ compensation claim processing and a broad range of billing tasks. This position favors...Remote jobHome office
- ...including claim submission, claim status inquiries, and filing appeals for denied claims Process a high volume of detailed account information... ...of insurance processes, including claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics, and claim status inquiries...Full timeWork at office
$10 per hour
...healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC...Remote jobFull time$49.92k - $62.4k
A healthcare organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and optimize revenue... ...candidates will have 3-5 years of experience in healthcare appeals, strong analytical skills, and knowledge of coding standards. A...- Alaffia is seeking a Clinical Itemized Bill Reviewer to join our Appeals and Disputes team. You will review disputes tied to Payment Integrity findings, focusing on high-dollar facility claims and itemized bills, using clinical, coding, and auditing expertise. Ideal candidates...Remote job
- ...corrections, and follow‑up to maximize reimbursement while maintaining patient satisfaction. Responsibilities include WC AR cleanup, denial reviews, appeals with carriers, eligibility verification, and data entry. Prior WC billing experience is preferred; Athena EMR knowledge is...Remote job
- Integra Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit...Remote job
$27 - $29 per hour
...Massachusetts Telehealth Nurse - Adult PC Triage Join to apply for the Massachusetts Telehealth Nurse - Adult PC Triage role... ...,000.00-$100,000.00 3 days ago Registered Nurse - Clinical Denials/Appeals - Remote District of Columbia, United States $68,000.00-$11...Hourly payFull timePart timeRemote workMonday to FridayShift workRelateCare | Care is in our name
New York, NY3 days ago$21 - $25 per hour
...and internal teams to resolve outstanding claims, manage payer denials, and maximize reimbursement while ensuring exceptional customer... ...collection activities to improve reimbursement performance. Denials & Appeals: Investigate insurance denials, submit appeals, follow up on...Work at officeMonday to FridayAtlantic Group
New York, NY4 days ago$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote role at Healthfirst . Position Summary: The Appeals & Grievances (A&G) unit...Remote jobFull timeMonday to FridayShift work- ...aspects of the revenue cycle, including claim submission oversight, denial management, insurance verification, authorizations, accounts... ..., and workers' compensation Experience managing denials and appeals Knowledge of accounts receivable management Strong...Part timeRemote workFlexible hours
Optimal Health Chiropractic & Physical Therapy
Egg Harbor, NJ11 hours ago $132.02k - $156.77k
About This Role The Transplant Coordinator, Registered Nurse- Heart Transplant is a vital member of the multidisciplinary Heart Failure... ..., FMLA paperwork Complete paperwork for prior authorizations, denials/appeals Prepare information for peer to peer authorizations Monitor...Full timeDay shift- ...criteria to determine the appropriate patient status. Performs denial and appeal activities for inpatient hospital care. Refers cases to the... ...home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce,...Daily paidFull timeTemporary workPart timeFlexible hoursShift workAfternoon shift
- Overview The Registered Nurse (RN) in the Diabetes Center of Excellence plays a pivotal role in the holistic management and education... ...medications for insurance companies. Lead the process to appeal denials of medications to ensure patients have timely access to vital...Contract workLocal areaRemote workAfternoon shift
- " Licensed Psychiatric Nurse Practitioner Wage: Up to $211.35/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?Whether you want to see patients alongside a full-time job or grow a full-time practice...Bi-weekly payFull timeFor contractorsPrivate practiceFlexible hours
Headway
New York, NY11 hours ago $32 - $46.15 per hour
...workplace for our team members. At Sunrise Senior Living, we champion the quality of life for all seniors. As an LPN Medication Nurse, you provide licensed nursing support through safe medication administration, health monitoring, and accurate clinical documentation...Part timeDignity Home Care, Inc
New York, NY12 days ago$1,500 - $3,800 per month
...benefits Communicate with insurance providers regarding claims and appeals Accounts Receivable Management Track outstanding balances and... ...medical billing experience Experience with insurance claims, denial management, and revenue cycle processes Experience supporting...Remote jobFor contractorsWork at officeMonday to Friday- Job Description Job Description Medical Billing Specialist - Denials & Appeals CytoGenX Corp. Full-Time Competitive Salary (Based on Experience) Medical • Dental • Vision • Paid Time Off • 401(k) Join a Growing Leader in Prenatal & Molecular Diagnostics CytoGenX Corp. is...Full time
$20 - $22 per hour
...specifically autism providers)* Track claim statuses and remittancesWork denials and follow up with unpaid claims proactively* Manage patient... ...and payor portalsKnowledge of the denials, corrections, and appeals process* Minimum availability of 25 hours/week during core...$19.67 - $35.67 per hour
...billing operations. This role focuses on insurance claim management, denial resolution, and tracking reimbursement patterns to ensure... ...and request reprocessing when needed Submit and track insurance appeals and corrected claims Review and analyze aging reports to...Full timeWork at officeRemote workMonday to FridayShift workWeekday work- BruntWork is hiring a meticulous Medical Biller to process patient data, submit and track insurance claims, and ensure timely payments. The role collaborates with providers and insurers to resolve discrepancies and verify coverage. Experience in US medical billing or provider...Remote jobPermanent employmentFor contractorsImmediate start
- WPS Health Solutions is hiring an Appeals Nurse to review medical records and claims for first-level Medicare appeal cases to determine medical necessity and compliance with coverage guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations...Remote job
- Healthfirst is seeking an A&G Clinical Specialist to lead the development and resolution of clinical cases for member and provider appeals, ensuring compliance with applicable laws and internal policies. The role can be remote or on-site at the NYC or Lake Mary locations...Remote work
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