Job Summary
A company is looking for a Denial Management Nurse.
Key Responsibilities
- Completes clinical reviews of pre- and post-claim denials and prepares appeal letters
- Develops and recommends policies to support the Denial Management program
- Collaborates with various departments to address clinical questions related to denial management
Required Qualifications
- Minimum Associate/BSN Degree in Nursing or relevant healthcare field
- Current unrestricted RN license within the state of Arizona
- Minimum three years of experience in case management, utilization management, or denial management
- Preferred Master's Degree in Nursing or relevant healthcare field
- Preferred experience with business letter writing, such as appeals
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