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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