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
- Knowtion Health is seeking an Appeals Nurse to oversee the review and appeal of claims related to clinical denials from Medicare, Medicaid, and other payers. The ideal candidate will have a valid RN license, experience in an acute care setting, and familiarity with utilization...SuggestedRemote job
- Shriners Children's is seeking a Denials Management Appeals Nurse (Anesthesia) to manage medical denials by reviewing clinical documentation and filing compliant appeals. The role requires a strong clinical background and the ability to write compelling arguments for appeals...Suggested
- Capital Health is seeking a Clinical Denials Utilization Review RN in New Jersey to manage... ...The role involves overseeing denial and appeal processes, ensuring compliance with CMS guidelines... ..., and requires a minimum of five years nursing experience. Applicants should be...Suggested
- ...Escalation Lead to provide advanced clinical appeal services. This role involves reviewing and escalating complex patient account denials while monitoring payer denial trends and... .... A Bachelor's degree and Registered Nurse qualification are required, along with two...Suggested
- A healthcare consulting firm is expanding its team by hiring a Clinical Appeals Review Nurse. This role involves completing clinical denial reviews, performing various audit services, and educating client personnel on charge documentation. Required qualifications include...Suggested
- A healthcare provider in Georgia is seeking a Denial Specialist responsible for coordinating appeals and collection efforts for denied services. Candidates should have 2-3 years of medical background and 1-2 years of experience in insurance and denial management. The role...
- Remote Jobs is seeking an experienced clinical appeals specialist to join their team. The role requires a Registered Nurse (RN) with at least one year in ICU or... ...writing for hospital services. You will review denials, conduct research, and collaborate with departments...Remote work
- ...seeking a detail-oriented Remote Billing Specialist. This full-time position manages operational revenue cycle tasks, focusing on payer denials, unpaid balances, and trend identification to enhance customer outcomes. The ideal candidate will have at least 1 year of related...Remote jobFull time
- Knowtion Health is hiring for a remote position that involves analyzing denied claims, resolving account denials, and maintaining records of claims activities. Ideal candidates will have a minimum of 6 months of experience in hospital or healthcare billing settings, expertise...Remote job
- ...Clinical Financial Case Manager RN - Escalation Lead to provide advanced clinical appeal services for complex patient account denials. This remote position requires a Bachelor's Degree in Nursing and a current RN license. The ideal candidate will have extensive experience...Remote job
$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- ...- RN - Escalation Lead to provide advanced clinical appeal services, manage complex patient account denials, and assist in developing denial prevention strategies... ...to work remotely and is ideal for a Registered Nurse with leadership capabilities. Candidates should have...Remote job
- REVCO SOLUTIONS INC is seeking a Denial Follow Up Specialist to manage inbound and outbound calls with insurances and follow up on accounts. The position requires a minimum of 2 years of experience with insurance claims. Responsibilities include resolving assigned accounts...
$60.52k - $129.62k
...bigger - helping to simplify health care one person, one family, and one community at a time. CVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a critical role in ensuring fair and accurate resolution of clinical...Remote jobHourly payFull timeTemporary workLocal areaMonday to FridayShift work- ...policies. The role involves securing complex pre-authorizations, appealing clinical denials, and requiring a keen understanding of clinical operations. Ideal candidates will hold a Bachelor’s degree in nursing and possess at least two years of clinical experience. The...
$29.05 - $67.97 per hour
...retrospective, and concurrent review of appeals for denied prior authorizations. Includes... ...appropriate criteria with medical directors on denial decisions. Supplies criteria... ...QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of...Hourly payWork experience placementWork at officeImmediate startMolina Healthcare
Corona, NY3 hours ago$90k - $99k
Santa Barbara Cottage Hospital is seeking a DRG Nurse Reviewer Appeals and Hearings. The role involves coordinating and performing all appeal-related duties, reviewing documentation, and actively participating in hearings. Candidates should have an active RN license, certifications...Remote jobFlexible hours$20 - $23 per hour
...insurance companies for timely payments. Candidates should have a high school diploma or GED, along with experience in healthcare denials and appeals. We offer a comprehensive benefits package and the position includes a pay range of $20.00 to $23.00 per hour. #J-18808-...Hourly pay$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$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...Remote jobHourly payTemporary workInterim roleFlexible hours$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- ...analysis of denied claims to determine the underlying reasons for denial and execute all necessary follow‑up actions. Communicate with... ...and up‑to‑date records of all claim activities, encompassing appeals, follow‑ups, and resolutions in Artiva and client systems as appropriate...Temporary workRemote work
- ...accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient...Temporary workFlexible hours
Yale New Haven Health
New York, NY1 day ago - Mount Sinai Medical Center seeks a Denials Coordinator to manage and resolve denied insurance claims. This position involves analyzing denial trends, coordinating appeals, collaborating with various departments to prevent future denials, and maintaining compliance with...
- ...service provider in the United States is looking for a Clinical Appeals Reviewer. This fully remote position involves reviewing appeal... ...must be licensed healthcare professionals, such as Registered Nurses, and have at least three years of relevant experience in medical...Remote job
- All Jobs > Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed Healthcare Professional)... ...independent clinical judgment, including but not limited to Registered Nurses (RN), Physical Therapists (PT), Occupational Therapists (OT),...Full timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
$98.2k - $130.8k
...seeking a Clinical Supervisor in New York who will oversee the Grievance & Appeals department, ensuring compliance with state and federal regulations. The role demands a Registered Professional Nurse license and at least three years of healthcare experience, with a focus...- The Hispanic Alliance for Career Enhancement is seeking an Appeals Nurse Consultant to join our remote team. This critical role involves ensuring fair and accurate resolution of clinical appeals through sound clinical judgment and compliance with regulatory requirements...Remote job
$13.41 - $29.06 per hour
...standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Enters denials and requests for appeals into information system and prepares documentation for further review. Researches claims issues utilizing systems and...Hourly payWork experience placementWork at office$65k - $95k
Alteva RCM seeks a Medical Billing Accounts Receivable Senior Associate to join our Revenue Cycle Management team in Middle Village, New York. This full-time, in-person position requires 2-3 years of experience in healthcare accounts receivable and proficiency in Microsoft...Full timeWork at office
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