Denial Prevention Specialist

Clinical Denial Management Team Lead

Performs work related to clinical denial management. Oversees and manages multiple members of the central clinical denials team. Assists in writing compelling arguments based on the clinical documentation and the medical policies of the payer and submits the appeal in a timely manner. Reviews third-party payer reimbursement denials.

Education: Essential: Associate in a Nursing Program from an Accredited School of Nursing

Experience: Essential: Three Years

Credentials: Essential: Registered Nurse

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