Remote RN: Clinical Denials & Appeals Specialist
Inova Health System
- Remote job
Inova Health System is seeking a dedicated Registered Nurse (RN) Clinical Denials and Appeals to join the team as a Full-Time Remote role. The position supports review of denied claims, development and submission of timely appeals, and collaboration across UR, Coding, Billing, and HIM to strengthen documentation. The role requires a BSN or higher (or ADN with RN license) and at least three years of RN experience. Remote eligibility extends to multiple states in the U.S. #J-18808-Ljbffr Inova Health System
- Inova Health System is seeking a Registered Nurse (RN) for Clinical Denials and Appeals. This full-time remote role supports denials and appeals across facilities, with start times between 7:30 AM-9:00 AM ET. The role requires a bachelor’s or associate degree with RN license...Remote jobFull time
- ...Inova 8095 - Fairfax East Registered Nurse (RN) Clinical Denials and Appeals Inova 8095 - Fairfax East is looking for a dedicated Registered Nurse... ...Appeals to join the team. This role will be Full-Time Remote, Monday-Friday (8-Hours per Day); Start Time to be between...Remote workFull timeMonday to FridayFlexible hours
- Providence Health & Services is seeking an Appeals RN in Case Management for a remote, per diem role working 8-hour day... ...Recovery Advocate will manage clinically-based appeals between Providence... ...to ensure timely resolution of denials, with base pay described in Providence...Remote jobDaily paidDay shift
- ...Medical Center in Dallas, TX invites applications for a Clinical Denial Management Specialist III in the Revenue Cycle Department. This is a 100% work... ...surgical E/M denials, coordinate with payers, and submit timely appeals. #J-18808-Ljbffr UT Southwestern Medical CenterRemote jobWork from homeMonday to FridayShift work
$20 - $22 per hour
...analytical, and results-driven Technical Denials & Appeals Specialist to join their team. If you have a... ...we want to talk to you. This is a remote opportunity. However, candidates MUST... ...identifying root causes of technical and clinical denials to draft and submit high-...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift 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...Remote work
- ...in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient... ...denials, medical necessity reviews, and appeals for insurance payers. You will... ...candidates will have nursing experience, RN license, and 2–5 years in case/un...Remote work
- UT Southwestern Medical Center seeks a Clinical Denial Management Specialist III to perform advanced medical billing/denial duties under supervision.... ...and EPIC familiarity. CPC certification is a plus. 100% remote work with a shift Mon-Fri; benefits include comprehensive...Remote jobShift work
- ...classified as hybrid, onsite or remote. While the majority of our... ...job Responsible for utilizing clinical acumen and managed care expertise... ...for member and provider appeals, grievances, reconsiderations... ...state as a Registered Nurse (RN) Required Certifications N/A...Remote jobContract workWork experience placement1 day per week
- ...Job Title Responsible for utilizing clinical acumen and managed care expertise related to researching, resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business with emphasis on...Remote jobFull timeContract workWork at officeLocal area
- Aspirion is seeking a Denials Appeals Specialist to analyze denied claims, draft compelling appeal letters, and submit appeals per payer guidelines... ...documentation to support revenue integrity and cash flow. Remote US-based role with growth opportunities. #J-18808-Ljbffr...Remote job
- Aspirion Health Resources, LLC is seeking a Denials Appeals Specialist to analyze denial reasons, draft persuasive appeal letters, and submit them... ...and reduce aging accounts receivable. You will work in a remote US-based environment, collaborating with cross-functional teams...Remote job
- ...Clinical Supervisor, UM Denial Compliance Location: Los Angeles Metropolitan Area... ...Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA)... ...Registered Nursing Program; RN preferred. Minimum of five... ...in prior-authorization, appeals & grievance, or health plan...Remote workPermanent employmentTemporary work
- ...Technical Denials & Appeals Specialist Our client is seeking a sharp, analytical, and results-driven Technical Denials & Appeals Specialist to... ...appeals that overturn them, we want to talk to you. This is a remote opportunity. However, candidates must reside within the...Remote workWork at office
$92,289.6 - $120,577.6 per week
...40 Position Overview Responsible for clinical review, development, and submission of inpatient and outpatient clinical appeals for denied hospital claims. This role applies... ...appropriate reimbursement and reduce avoidable denials. MINIMUM REQUIREMENTS Education:...Full timeTemporary workPart timeWork at officeFlexible hours$70k - $80k
...Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider... ...must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience. The...Remote workFull timeContract workMonday to Friday- UnitedHealth Group is seeking an Utilization Management & Clinical Validation RN to accurately review medical records and extract case details, crafting defensible appeal letters using evidence-based literature and coding knowledge. You will work from anywhere in the U...Remote jobFlexible hours
- CorroHealth, Inc. is seeking a part-time PRN Clinical Review Nurse (RN) to remotely review medical records for medical necessity, authorization compliance, and payer guideline alignment, supporting appeal submissions. You will perform clinical reviews, review inpatient...Remote jobPart timeRelief
- ...skilled Registered Nurse for an outpatient Pacemaker/Device Clinic. You will perform in-clinic and remote device checks and support device management for... ...documentation and timely follow-ups. A BSN/ADN and IL RN license are required, with 1-2 years of clinical experience...Remote work
- Payfuture Technologies is seeking a Clinical Documentation Integrity (CDI) Specialist to ensure accurate clinical documentation in a remote setting, with optional on-site presence. This role requires a Massachusetts RN license and involves reviewing medical records for...Remote job
- ...Cottage Hospital is seeking a PRN Clinical Review Specialist to provide remote clinical review support. You will evaluate... .... The role requires an active RN license (compact preferred), 3-5... ...and 2+ years in Utilization Review/Appeals. Strong documentation and Epic EMR...Remote jobRelief
$71.59k - $116.48k
...prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case... .... The ideal candidate should be an RN, LPN or Dental Hygienist with experience in appeals...Remote job$80k - $90k
...Expected Hiring Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting Appeals reviews of new evidence... ...Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work- Medica, a nonprofit health plan, is seeking a remote Appeals & Grievances Clinical Specialist III to review and resolve appeals and grievances with clinical... ...and clinical staff. This position requires an active RN license and 5+ years of clinical experience, preferably...Remote job
- Providence California Regional Services is seeking an Appeals RN in Case Management for a remote per diem position. This 8-hour day shift role focuses on managing clinically-based appeals and coordinating reimbursement conversations with external payers. The Care Management...Remote jobDaily paidDay shift
- ...Recovery in Plano, TX is seeking an experienced Registered Nurse (RN) to move beyond bedside care into a strategic, analytical role focused on utilization management, clinical review, and denial appeals. You will analyze denied claims, perform medical necessity reviews...
$36 - $40 per hour
...forging our own path. We’re a remote-first staffing and... ...coding career. If you are an Appeals and Denials Nurse looking for a new opportunity... ...benefits Our requirements: RN or FMG: CDIP, CCDS, CCS and/... ...0.00-$95,000.00 1 month ago Clinical Review Nurse - Prior Authorization...Remote workPermanent employmentFull timeWork visa- Ready to Move Beyond Bedside Nursing? Join Our Clinical Appeals Team! ERISA Recovery is seeking an experienced Registered Nurse (RN) with a strong background in utilization management, clinical review, and denial appeals to join our growing team in Plano. This is an ideal...Relocation
$29.7 - $31.8 per hour
...Description The Acute Coding Appeals Specialist integrates medical coding... ...Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in... ...client experiences. This is a remote position; however, candidates...Remote workTemporary workWork at officeLocal area$28.94 - $51.63 per hour
...Clinical Appeals RN At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers... ...and clarification). You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWeekday work
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