RN Denials & Appeals Specialist | Reimbursement Strategy
ERISA Recovery, Inc.
ERISA Recovery, Inc. in Plano, TX, seeks an experienced Registered Nurse (RN) to move beyond bedside care into utilization management and clinical review. You will analyze denied claims, perform medical necessity reviews for inpatient and outpatient cases, and develop high-quality clinical appeals with peer-to-peer support. Collaborating with physicians, case managers, and UR teams, you'll resolve issues around authorizations and pre-certifications while tracking denial trends to drive process #J-18808-Ljbffr
Vacancy posted 1 day ago
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