A company is looking for a Clinical Denial / Appeals RN.
Key Responsibilities
Review, analyze, and appeal clinical denials from insurance companies and third-party payers
Conduct comprehensive denial root-cause analysis and ensure documentation integrity
Coordinate pre-service authorization approvals and construct warranted appeals
Required Qualifications
Bachelor's Degree (relevant experience may substitute for formal education)
Current Registered Nursing License
4+ years of prior clinical experience
1+ years of experience in post-claim clinical appeals
Registered Nurse • Las Vegas, Nevada, United States