Remote RN: Clinical Appeals & Denial Management Specialist
Revu Healthcare
- Remote job
Revu Healthcare is seeking a Clinical Appeals Reviewer for an independent contractor position. This role demands a minimum commitment of 40 hours per week for reviewing and appealing denied medical claims. Qualified candidates must have a strong background in Utilization Review, acute hospital experience, and the ability to write effective appeal letters. Familiarity with clinical standards and billing codes is essential for success in this role. #J-18808-Ljbffr Revu Healthcare
- ...Outpatient Coding Denials Specialist The Outpatient Coding... ...in the revenue cycle management of Rev Cycle Mid-Service... ...Collaborate with clinical documentation specialists... ...processes. Appeals Prepare and submit... ...for hybrid or mobile/remote work mode are at the...Remote work
- ...Clinical Supervisor, UM Denial Compliance Location: Los Angeles Metropolitan... ...Type: Hybrid (85% remote, 15% onsite in... ...licensed denial unit staff, managing daily tasks,... ...Registered Nursing Program; RN preferred. Minimum... ...prior-authorization, appeals & grievance, or...Remote work
$45.29 - $84.11 per hour
...Denial Prevention Nurse Position at Northwell... ...better. Hybrid/Remote Summary: The... ...and accurate clinical information to all... ...and trending all appeals and communicating... ...with the Denials Management team. # Assists... ...Required: Current RN License in Connecticut...Remote workHourly payDaily paidPart timeShift workNight shiftRotating shift- ...Direct Jobs is seeking a Care Manager Clinical Denials in Houston, Texas, responsible for managing audits and denials related to inpatient medical necessity. The role requires a Registered Nurse with extensive experience, particularly in case management and utilization...Suggested
- ...Jefferson Health is seeking a Clinical Appeals Nurse to be a part of their team, working fully remote. This role involves reviewing payor denials, writing appeals, and coordinating with third-party payors to advocate for patient claims. Qualified candidates will hold a...Remote work
- ...Barbara Cottage Hospital is seeking a Clinical Nurse Specialist to resolve complex clinical denials and enhance reimbursement outcomes through evidence-based appeals. Your role includes analyzing... ..., and experience in denials management. Join us in making a meaningful...Remote work
$36 - $40 per hour
...our own path. We’re a remote-first staffing and consulting... ...in mid-Revenue Cycle management within the healthcare... ...career. If you are an Appeals and Denials Nurse looking for a... ...Our requirements: RN or FMG: CDIP, CCDS, CCS... ...95,000.00 1 month ago Clinical Review Nurse - Prior Authorization...Remote workPermanent employmentFull timeWork visa- Atlantic Health is seeking a Hospital Appeals Specialist (RN) for a full-time position with shifts... ...Morristown, NJ. This role focuses on managing payer denials and developing strong appeal letters through collaboration with clinical teams and adherence to payer policies...Full timeShift work
- ...regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience... ...appeal strategies, collaborating with clinical departments, and ensuring accurate documentation...Remote 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 job
$80k - $90k
...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting Appeals... ...primary audit activity as assigned by management. Monitors, tracks, and reports... ...the ability to work independently in remote setting with minimum supervision and...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work- ...UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II for the Revenue Cycle Department. This role involves reviewing, researching, and resolving claim denials with various insurance companies while maximizing collections. The ideal...Remote work
- ...Healthcare is seeking a Revenue Cycle Denials Representative to manage and resolve denied claims.... ...analyzing billing denials and preparing appeals for Medicare, Medicaid, and commercial... ...systems is essential. The position allows remote work with a focus on delivering high...Remote work
$27.74 - $39.16 per hour
...Coding Denial And Appeals Specialist The Coding Denial and Appeals Specialist... ...on reviewing and resolving clinical and medical-necessity denials... ...revenue cycle analyst and management to address denial trends... ...-Friday Business Hours Remote work setting, but must live...Remote workHourly payFull timeLive inMonday to FridayFlexible hoursShift work$24 - $25 per hour
...physician practice management company in a high-growth... ...billing for our clinical partners in multiple... ...add a Revenue Cycle Appeals & Recovery Specialist to join our fast-paced... ...role is full time, remote with a base rate of... ...c omplex appeals & denial resolution and manage...Remote workHourly payFull timeLive inShift work- ...Payfuture Technologies is seeking an Appeals and Grievance Registered Nurse to manage clinical appeals and handle communication with healthcare teams regarding denial rationales. Responsibilities... ...Associate's Degree in Nursing and an RN License. The position is full-time...Full time
- ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance Location:... ...Type: Hybrid (85% remote, 15% onsite in Northridge... ...Registered Nursing Program; RN preferred. 2. Minimum of... ...in prior-authorization, appeals & grievance, or health plan...Remote workPermanent employmentFull timeTemporary workFlexible hours
$28.83 - $46.14 per hour
...per hour. Location: Remote in Washington State... ...Responsible for the review, appeal strategy, resolution... ...of payer claim denials to recover reimbursement... ...strategies, collaborates with clinical and operational... ...departments including Case Management, Coding, and Health...Remote workHourly payContract workFlexible hoursShift work$62.74k - $78.01k
...have the ability to work remotely. DESCRIPTION UC... ...with primary focus on denials resolution, payer... ...barriers, submitting appeals or reconsiderations when... ...that requiring coding, clinical, billing, contract, or... ...relationships: peer to peer, management, third party payors,...Remote workHourly payDaily paidContract workFlexible hours- ...Coding Denials Specialist - Clinical Practice Services United States, Wisconsin Summary The Coding Denials... ...level work related to coding denials management. The individual is responsible for... ...authorization needs to be obtained, if a written appeal is needed, or if no action is needed....Contract workWork at office
- Boston Medical Center is seeking a full-time RN Appeal Administrator responsible for managing the pre-denial and denial processes in healthcare services. This role... ...collaboration with payers and ensures the clinical appropriateness of patient care levels. The ideal...Full time
- Direct Jobs is seeking a qualified Denial Review & Analysis professional in Morristown... ...denials, writing evidence-based appeal letters, and collaborating with... ...ideal candidate will have an active NJ RN license and substantial clinical experience. The position offers...
- ...Morristown, NJ is hiring for a Denial Review & Analysis role... ...an active NJ Registered Nurse (RN) license. Responsibilities include... ...reviewing payer denials, writing appeal letters, and collaborating... ...ideal candidate has 3-5+ years of clinical experience, preferably in...Full timeShift work
$78.86k - $118.29k
...Job Description The Clinical Appeals RN is responsible for the identification and resolution of technical and/or clinical based denials through appeals. The Appeals Nurse will work with Revenue Cycle staff, case management, clinical departments, practices, and insurance...Remote work- 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...Remote work
- .... Essential Functions Initiates the appeal process, at the direction of Revenue Cycle management, until the case is overturned, appeal... ...and appealing technical denials and working closely with Clinical Appeals Specialists responsible for clinical appeals. Reviews...Contract workWork at officeShift workDay shift
$81.1k - $116.48k
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member... ...authorization of or delivery of clinical and non-clinical... .... The A&G Clinical Specialist is the subject... ...position is 100% Remote. We are hiring for the... ...Qualifications: RN, LPN OR Dental Hygienist...Remote jobContract workTemporary workWork experience placementLocal areaMonday to FridayShift work- ...System is seeking a full-time Hospital Appeals Specialist (RN) in Morristown, NJ. In this role, you... ...will be responsible for reviewing payer denials, developing appeals, and collaborating... ...license, have a strong background in clinical experience, and be skilled in writing...Full time
- MVP Health Care is seeking a Clinical Appeals RN to ensure fair and timely review of healthcare service denials. This role involves analyzing medical records and clinical documentation and collaborating with medical directors to decide on appeals. The ideal candidate will...Remote job
- ...Ohio State University is looking for a Clinical Financial Case Management RN to manage daily operations within Revenue Cycle Clinical Support. The role involves overseeing staff, ensuring compliance with health care regulations, and guiding staff through complex financial...Remote workWork at office
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