Denial and Appeals RN
Hartford Healthcare
Hartford Healthcare is seeking a Denial and Appeals RN in Clinical Resource Management to review, analyze, and resolve clinical denials and appeals across our Connecticut network. In this role, you will evaluate medical necessity, interpret payer policies, and prepare timely, evidence-based appeal letters to optimize reimbursement and support patient access to care. You will collaborate with physicians, case management, and revenue cycle teams, educate staff on documentation and utilization management, and track trends to reduce preventable denials, all within a culture of teamwork, compassion, and professional growth.
- ...rapidly changing medical environment. Position Summary: The Denial and Appeals Nurse is an integral part of the Care Management team. Their... ...Certification, Registration: Current State of Connecticut RN license is required. CCM (certified case manager), CPUM (...SuggestedContract workWork at officeMonday to FridayShift workWeekend work
- Hartford Healthcare seeks a Denial and Appeals RN to support Clinical Resource Management. In this role, you will review medical records, analyze payer denials, and prepare clinical appeals to secure appropriate reimbursement while advocating for patient access to care....Suggested
- ...Job Posting Denial RN DRG Appeal Writer2 / HIM Coding - ( 26162128 ) Description Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters...SuggestedFull timeContract workWork at office
- ...Hartford. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing... ...insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing...SuggestedWork at office
- Location Detail: MMH-71 Haynes Street (10627) Shift Detail: 4x10s, 7a-5:30p Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here...SuggestedImmediate startFlexible hoursShift work
- Location Detail: 71 Haynes Street (10627) Shift Detail: 5x8s, 3p-11:30p $20,000 SIGN ON BONUS! Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every...Relocation packageShift work
$23 - $25.5 per hour
...Company Summary Our client is seeking a Denials Management Medical Specialist to join their Billing & Collections team. This is an excellent... .... Research, review, and document claim denials and appeals. Submit electronic and paper claims as needed. Obtain supporting...Hourly payFull timeWork at officeLocal area- Location Detail: MMH-71 Haynes Street (10627) Shift Detail: All shifts available Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters...All shiftsShift work
- ...journals, in-services, mock codes, conferences and staff meetings Qualifications Qualifications: ~ Current Connecticut State RN License • Current BLS/ACLS • Associate's required; BSN preferred • Previous Cardiac Rehab experience preferred with knowledge of...Immediate start
- ...throughout the region, caring for patients from birth through the end of life. The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of patient care, clinical personnel, and unit operations. This position supervises a work...Shift work
- ...Come join Hartford HealthCare and work where every moment matters! MidState Medical Center is actively hiring Registered Nurses (RN)for our Oncology units across multiple hours and shifts. At MidState, we don't just take great care of our patients; we take great...Shift workWeekend work
- ...standards of practice to meet the physical, emotional, spiritual, cultural and educational needs of the patient and family. Qualifications RN with current Connecticut license required BSN preferred Experience in applicable specialty preferred New graduates to work under...Part timeShift workWeekend work
- Registered Nurse - Nicu Start here at Hartford Healthcare and work where every moment matters! Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to ...
- Location Detail: MMH-71 Haynes Street (10627) $20,000 SIGN ON BONUS! Work where everymoment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you ...Relocation package
- ...population may encompass any general medicine patient, and typically have multi system symptoms. Qualifications • Current Connecticut RN License. • Graduate of an accredited nursing school (BSN required). • BLS certification by the American Heart Association and...Shift work
- ...discharge planning. Support a culture of excellence, teamwork, and continuous learning. Qualifications Current Registered Nurse (RN) license in the State of Connecticut. Graduate of an accredited school of nursing (BSN preferred). Demonstrated competence in...Daily paidFull timePart timeRelocation packageAll shiftsFlexible hoursShift work
- ...policies and procedures. Responds appropriately to actual or anticipated emergencies. Qualifications: ~ Current Connecticut RN License. ~ Graduate of an accredited nursing school (BSN preferred). ~1 year nursing experience with experience in Cardiology, Critical...
- Registered Nurse, Nicu Start here at Hartford Healthcare and work where every moment matters! Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become...
- ...specific age/cultural groups in planning and providing care. Participates in quality improvement activities. Qualifications ~ Valid CT RN License ~ BSN preferred ~ BLS Certification required, ACLS to be obtained within 6 months if candidate does not already possess...Daily paid
$46.92k
Description: Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible ...Full timeRelocationRelocation packageFlexible hoursWeekday work- ...appreciated for the real differences they make in both the lives of their clients and their clients’ families. Our Primary Care Nurses (RN) utilize their extensive education and training to provide personalized care to our patients in a rewarding environment that promotes...
$22 - $28 per hour
...accurate reimbursement. This role focuses on claim follow-up, denial resolution, payment posting review, and the identification of trends... ...Remittance Advice (ERAs) for accuracy Submit corrected claims, appeals, and supporting documentation as needed Identify root causes of...- ...visiting nurse services. The Greater Manchester Region serves a region of 300,000 people in 19 towns. The Medical Imaging (Radiology) RN Clinician will be responsible for representing ECHN to the Radiology Intervention patient in both the outpatient and inpatient...
- Milton Hershey School, a cost-free residential school for pre-K-12 students, seeks compassionate Residential Youth Caregivers to support students’ daily home life. In this role, you’ll create a safe, nurturing environment, supervise routines, assist with homework, teach...
- ...10-bay PACU unit that will deliver 24/7 post-operative care for a diverse range of surgical and interventional procedures. The PACU RN will be responsible for the recovery of patients from general and regional anesthesia, as well as IV and conscious sedation, necessitating...
- ...School Nurse (RN) Gaffney Elementary School is searching for a School Nurse (RN). Anticipated Start Date: November 2, 2026 Schedule: 35 hours/week Work Year: 10-month position (184 days) Pay Grade: 10B Contract: Review the Local 1186 Contract for additional details....Contract workLocal area
- ..., regulatory requirements, and health plan policies, the UM RN collaborates with providers, interdisciplinary care teams, and... ...and payer communications. Review and monitor insurance denials, support appeals processes, and identify opportunities for utilization management...Full timeLocal area
- This Job at a Glance Job Reference Id: ORD-217796-NP-CT Title: NP Dates Needed: 08/19 - 08/26 and 12/21 - 12/31 (excluding 12/24 and 12/25) Shift Type: Day Shift Assignment Type: Outpatient; Clinic Call Required: No Board Certification Required: Yes...LocumPrivate practiceSeasonal workMonday to FridayMonday to ThursdayShift workDay shift
- ...one holiday a year within a strong, supportive and stimulating environment Qualifications Qualifications: • Current Connecticut RN License. • Graduate of an accredited nursing school (BSN required). • BLS certification by the American Heart Association required...Full timeShift workRotating shift
- ...as a contact person for issues that require ROI escalation; Supports the overall goals within Revenue Cycle to minimize preventable denials, promote patient safety and the integrity of the medical record. The Specialist safeguards and protects the patient's right to...Part timeWork experience placementWork at officeShift work
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