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New York Licensed Denials Clinician

7/3/2025

Remote

Job Summary

A company is looking for a Clinician, Denials Management - Remote.

Key Responsibilities
  • Maintain the integrity of information in appeals and ensure medical accuracy in written appeals
  • Research payer denials and make recommendations for workflow revisions to improve efficiency
  • Review payor communications and identify risks for reimbursement loss, escalating issues as necessary
Required Qualifications
  • 4-year degree required
  • Must be a Registered Nurse with clinical experience
  • Experienced in medical chart review and hospital nursing
  • Basic knowledge of MS Excel and ability to learn proprietary databases
  • Must be goal-oriented and able to meet ongoing deadlines

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