Remote Denials Appeals Authorization Expert
Santa Barbara Cottage Hospital
Shriners Children’s is seeking an Authorization Denials Appeals Nurse to manage denial appeals by reviewing clinical documentation and determining if retro-authorization is warranted. The appeals nurse will serve as a clinical resource to the Central Authorization Unit and provide peer-to-peer reviews when the payer allows a nurse to participate in the process.
The nurse will write compelling arguments for appealing denials and maintain knowledge of payer criteria.
#J-18808-LjbffrVacancy posted 2 days ago
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