Remote Clinical Appeals Nurse: Overturn Denials
Health Business Solutions
A healthcare solutions firm is looking for a Clinical Appeals Nurse (RN) to support revenue cycle operations by reviewing denied claims. This remote position requires an active RN license and 3-5 years of clinical nursing experience. Responsibilities include assessing medical necessity, drafting appeal letters, and collaborating across teams. Excellent written communication skills and a strong understanding of medical necessity criteria are essential for success in this role. The company promotes a collaborative work environment and values diversity. #J-18808-Ljbffr
- ...Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To: Director of Clinical Appeals Position Overview The Clinical... .... This role plays a critical part in overturning denials, improving reimbursement outcomes, and ensuring...Remote work
- ...Appeals Nurse The Appeals Nurse works with attorneys and claims representatives by reviewing... ...appealing claims when appropriate to overturn clinical denials from Medicare, Medicaid, and other... ...and requirements. This position is remote and requires a dedicated, distraction...Remote workTemporary workWork from home
- ...Clinical Appeals Nurse - Full Time Remote - Jefferson Health Articulates the job's main responsibilities. This is not intended to be an exhaustive list... ...precertify accounts and appeal insurance denials. Contacts insurance companies and conducts appeals via...Remote workDaily paidFull timeTemporary workPart timeFlexible hours
- Health Business Solutions LLC seeks a skilled Clinical Appeals Nurse to manage medical denials and provide clinical expertise in the appeals process. Candidates need an active RN license, two years of bedside experience, and one year in clinical appeals. Responsibilities...Suggested
- ...Audit Systems, Inc. (UASI) in Cincinnati, Ohio is looking for an experienced Clinical Appeals Review Nurse to join their healthcare consulting team. This role involves conducting clinical denial reviews to help determine appropriate appeals for patient accounts. Ideal...Suggested
$15.5 - $19.63 per hour
...Franciscan Health is looking for a Denial Collections Specialist to work from home in Indiana. The specialist will review denied medical insurance claims, identifying the basis for appeal and ensuring timely and compliant resubmissions. Applicants must have a high school...Remote workHourly payWork from home- ...Leading denial management and appeal strategy, the full-time remote Manager of Denials and Appeals will oversee reimbursement recovery operations, improve overturn rates, and collaborate with cross-functional... ...strategies across billing and clinical workflows Drive recovery...Remote workFull time
$50 per hour
...We are looking for a Clinical Appeals Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate... ...Care & Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible...Remote workHourly payFull timePart timeFor contractorsFlexible hours$50 per hour
...We are looking for a Clinical Appeals Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate... ...Care & Utilization Management. Benefits Full‐time or part‐time remote position Choose which projects you want to work on Flexible...Remote workHourly payFull timePart timeFor contractorsFlexible hours- ...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... ...familiarity with utilization review. This remote position offers a variety of benefits,...Remote work
- ...Kids for the Future is seeking a DRG Appeals Review Nurse to analyze and appeal denied MS-DRG and APR-DRG accounts. The ideal candidate will... ...Nurse License, relevant coding certifications, and extensive clinical experience. Key responsibilities include reviewing claims for...Remote workWork from home
- ...services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and Grievance Nurse is responsible for conducting daily clinical... ...at any time, with or without notice. This is a remote role. Primary Responsibilities Independently...Remote workContract workWork at officeLocal areaFlexible hours
$36 - $40 per hour
...Norwood we’re forging our own path. We’re a remote-first staffing and consulting company... ...in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to... ...NY $85,000.00-$95,000.00 1 month ago Clinical Review Nurse - Prior Authorization Clinical...Remote workPermanent employmentFull timeWork visa- ...America’s heartland. Facility: Remote SD (Central Time) Location:... ...Job Summary Facilitates the denial and appeal process through exercising clinical expertise and clinical by reviewing... ...Graduate from a nationally accredited nursing program preferred, including, but...Remote workFull timePart timeImmediate startWork from homeShift workDay shift
- 340B Health in California seeks a skilled professional to manage denials and appeals in healthcare. Candidates must have at least 4 years of experience in case management and familiarity with denials and appeals processes. The role involves educational responsibilities...
- ...is seeking an experienced professional for a role focusing on appeal management in Los Angeles. The successful candidate will identify... ...educational opportunities to enhance service quality, review denials, and construct detailed appeals based on established guidelines...
- Brighton Health Plan Solutions is seeking a Clinical Appeal and Grievance Nurse to conduct clinical and benefit reviews in a production-driven environment... ...with regulatory requirements. This position is remote and emphasizes independence and accountability in a fast...Remote job
- A healthcare services company is seeking a Clinical Appeal and Grievance Nurse to manage medical necessity and benefit appeals. This remote role requires an active RN or LPN license and a minimum of 5 years' experience in Clinical Appeals and Grievances. Key responsibilities...Remote jobWork at office
$45.29 - $84.11 per hour
...outpatient facilities, 22,000 nurses and over 20,000... ...better. Hybrid/Remote Summary: The purpose of the Denial Prevention Nurse is to ensure... ...timely and accurate clinical information to all payers... ...Tracking and trending all appeals and communicating on a...Remote workHourly payDaily paidPart timeShift workNight shiftRotating shift- Managed Resources, Inc. is seeking a Clinical Appeals & CDI Manager in Sacramento, California to oversee the Clinical Appeals Department. The... ...reviewing clinical appeal letters, assisting Clinical Appeal Nurses, and ensuring compliance with HIPAA regulations. Preferred...Remote jobWork at officeWork from home
$27.88 - $36.06 per hour
...service provider is seeking an AR Follow-Up Specialist III, focusing on resolving coding-related denials and appeals while collaborating with coding professionals. This remote role requires strong customer service skills and a minimum of two years of relevant experience...Remote workHourly pay- ...seeking a highly motivated Medical Coding Denial Specialist. The role focuses on resolving... ...specialty departments, generating appeals, and managing complex claims. Candidates... ...preferred. This position can be performed 100% remotely, and offers generous benefits including leave...Remote work
- ...to handle insurance accounts and manage accounts receivable for ambulatory surgical centers. This remote position involves submitting appeals and following up on denials while ensuring excellent communication with insurance representatives. The ideal candidate possesses...Remote work
- Blue Cross Blue Shield of Massachusetts is looking for a Clinical Appeals Nurse Reviewer to transform healthcare by facilitating and coordinating provider appeals for denied services. Your role will involve reviewing claims and collaborating with various teams while utilizing...Full time
- ...strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel...
- ...Professional Credit Service is seeking a Multispecialty Denials Coding Specialist for a full-time remote position. Responsibilities include reviewing... ...professional coding, researching claim denials, and submitting appeals. Candidates must have proficiency in MS Office and...Remote workFull timeFlexible hours
- ...an AR Specialist to manage accounts receivable for Ambulatory Surgical Centers. This remote position involves handling insurance accounts, submitting appeals, and researching denials. The successful candidate should have knowledge of billing and insurance guidelines, excellent...Remote work
- ...role includes handling accounts receivable, submitting appeals, and following up on denials. Ideal candidates should have a solid understanding of medical... ...excellent communication skills. This position is fully remote, offering a flexible work environment and comprehensive...Remote workFlexible hours
- ...is seeking an experienced Professional Billing Denials & Appeals Analyst to join their Revenue Cycle team. This remote role centers on investigating claim denials, performing root cause analysis, and writing non-clinical appeals. Ideal candidates will have 3–5 years of...Remote workHourly payFull time
- ...Surgical Information System is seeking a remote AR Specialist responsible for collection efforts on insurance accounts for... ...role includes handling accounts receivable, submitting appeals, and researching denials from insurance carriers. Candidates should possess strong...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Appeals Nurse: Overturn Denials. Be the first to apply!
- registered nurse case manager United States
- primary care nurse practitioner United States
- er nurse manager United States
- nurse practitioner geriatrics United States
- clinical resource nurse United States
- geriatric medicine nurse practitioner United States
- hospice nurse practitioner United States
- gastroenterology nurse practitioner United States
- remote telephonic nurse case manager United States
- telemedicine nurse practitioner United States

