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
- UASI seeks an experienced Clinical Denials and Appeals Specialist to join our Denials Management team. You will review complex payer denials and develop high-quality appeal letters to maximize reimbursement for our healthcare clients. The ideal candidate will be a strong...Suggested
- Ensource is seeking a Multispecialty Denials Specialist to review documentation and coding guidelines for professional fee-based coding... .... The role involves researching claim denials, submitting appeals, and handling claims correspondence as a full-time remote opportunity...SuggestedRemote jobFull time
- Healthfirst is seeking an Appeals & Grievances Specialist to handle non-clinical case development and resolve member and provider appeals... ...documented appeals within payer timelines, and identify denials patterns for process improvements. Strong attention to detail and...SuggestedRemote work
- Cognizant is hiring an Inpatient Medical Coder for a remote, work-from-home role in the United States. You will review denials, analyze reasons, and coordinate with physicians to ensure accurate inpatient coding and billing per documentation and policy. Responsibilities...SuggestedRemote jobWork from home
- Alignment Health seeks a Clinical Appeals Nurse to review appeals for inpatient and outpatient services. The role requires applying clinical... ..., coding, and documentation, coordinate records, and prepare denial letters when needed. The position emphasizes HIPAA-compliant...Suggested
- ...Ventra Health Inc. is seeking a Certified Coding Denials Specialist to work remotely in a full-time role. The specialist will manage claim edits and rejection work queues, ensuring timely investigation and resolution of health plan denials while adhering to departmental...Full timeRemote work
Ventra Health Inc.
New York, NY5 hours ago - 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...Remote work
Healthfirst
New York, NY3 days 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 |...Remote jobHourly payFull timeWeekday work- ...medical collections and accounts receivables. This role includes responsibilities like resolving outstanding surgical claims, handling denials, and reviewing insurance payments for accuracy. The ideal candidate has 2+ years of revenue cycle experience, effective...
- ...CMS rules, and fix pre‑bill defects. In your first year you’ll stand up a two‑gate QA, lead ADR responses, coach the billing team, and develop an analytics baseline to monitor denials and improvements. Join us in rebuilding care delivery. #J-18808-Ljbffr Verse-Medical
- ...Auctus Group is looking for a Medical Biller responsible for charge posting, denial resolution, and AR follow-up. The role is critical to maintaining AR health and ensuring timely reimbursement. You will process clean claims, post payments, resolve discrepancies, and...Remote work
Auctus Group
New York, NY10 hours ago - ...Alignment Healthcare USA, LLC is looking for a full-time California Licensed Clinical Appeals Nurse to work in a fully remote environment. In this role, you will review and process appeals for inpatient and outpatient services, collaborate with medical directors, and ensure...Full timeRemote work
Alignment Healthcare USA, LLC
New York, NY10 hours ago - ...is seeking a Remote Medical Billing Specialist focused on back-end accounts receivable follow-up, resolution of aged accounts, and denial management. This role involves in-depth research and problem solving to resolve accounts by following up with payers on denied claims...Remote work
Dropbox
New York, NY4 days ago $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, NY10 hours ago- ...Medical Billing Specialist to join the Patient Financial Services department. This onsite role expects meticulous review of EOBs, denial management, and patient balance resolution. Required are 3+ years of billing experience, preferably in optometry, with familiarity...
$58.9k - $80.07k
...The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HF's line of businesses which include... ...of non-clinical cases, such as: certain types of claim denials, member complaints, and member and provider appeals. The end-to...Temporary workWork experience placementRemote Jobs
New York, NY4 days ago$77.91k - $116.86k
Santa Barbara Cottage Hospital seeks a Clinical Appeals Nurse responsible for reviewing appeals for inpatient and outpatient services. This role requires collaboration with various stakeholders to ensure high-quality medical outcomes. Candidates must have a minimum of two...- CareFirst, Inc. is seeking a full-time Clinical Medical Review Nurse to work remotely. In this role, you will manage the review of professional and institutional claims and provider appeals to determine eligibility for benefits. You’ll analyze medical information to support...Remote jobFull time
- ...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
$58.5k - $69.97k
Position Summary We have an exciting opportunity to join our team as a Data Analyst, Financial Data Governance and Quality. The successful candidate reports to the Assistant Manager, Financial Data Governance and Quality and will maintain and analyze data within PeopleSoft...Work experience placement$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...- 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
- Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal candidate will possess a relevant...Remote job
- EnableComp in New York seeks a Resolution Analyst to act as the liaison between client contacts and our denials and underpayment appeal process. You will facilitate payment review recovery efforts for denied and underpaid accounts for assigned clients, handling PHI with...
- ...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$59.83k - $89.75k
...up to scrutiny. You take the lead in auditing, submitting, and appealing records for home health, hospice, LTACHs, and community-based services... ...audits Required Qualifications Associate's degree in Nursing Current and unrestricted licensure as an LPN 1+ years of experience...Minimum wageFull timeWork experience placementWork at officeLocal areaHome office$81.1k - $116.48k
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration...Remote jobContract workTemporary workWork experience placementLocal areaMonday to FridayShift work$27 - $29 per hour
...Massachusetts Telehealth Nurse - Adult PC Triage Join to apply for the Massachusetts Telehealth Nurse - Adult PC Triage role at RelateCare... ...$70,000.00-$100,000.00 3 days ago Registered Nurse - Clinical Denials/Appeals - Remote District of Columbia, United States $68,000.00-$113,0...Hourly payFull timePart timeRemote workMonday to FridayShift workRelateCare | Care is in our name
New York, NY10 hours ago$2,636 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: New York City, NY Agency: Cynet Health Pay: $2,636 per week... ...on assessments and using evidence-based standards and refers denials or limitations to the Medical Director. They assist members in...Full timeContract workImmediate startShift workTravelNurseSource
New York, NY1 day ago
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