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Registered Nurse Denials Appeals Administrator
Location:
Bridgeport, CT
Description:
A company is looking for a Registered Nurse Denials & Appeals Administrator to manage the pre-denial and appeal processes. Key Responsibilities Oversee the pre-denial, denial, and appeal processes, ensuring compliance with Utilization Review standards Utilize medical necessity screening tools to validate patient placement and appropriateness of care Collaborate with payers to secure authorization for clinical services and manage continued stay reviews Required Qualifications Associate's degree in Nursing required; Bachelor's degree preferred Minimum of 5 years of experience in Utilization Management, Denials and Appeals, or patient insurance/billing Comprehensive knowledge of clinical documentation, medical coding, and patient financial billing regulations Experience in Case Management and HMO settings is preferred Understanding of medical records coding and health insurance standards
Company:
Virtualvocations
Posted:
November 2 on TopUSAJobs
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More About this Listing: Registered Nurse Denials Appeals Administrator
Registered Nurse Denials Appeals Administrator is a Nurse & Healthcare Registered Nurse Job at Virtualvocations located in Bridgeport CT. Find other listings like Registered Nurse Denials Appeals Administrator by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.
Registered Nurse Denials Appeals Administrator is a Nurse & Healthcare Registered Nurse Job at Virtualvocations located in Bridgeport CT. Find other listings like Registered Nurse Denials Appeals Administrator by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.