Clinical Appeals Registered Nurse

Company: VirtualVocations
Location: Abilene
Posted on: March 6, 2025

Job Description:

A company is looking for a Clinical Denials and Appeals RN.

Key Responsibilities

Secure pre-service approvals and review pre/post service denials
Conduct comprehensive denial root-cause analysis and retrospective medical record reviews
Coordinate pre-service authorization approvals and construct warranted appeals

Required Qualifications

Bachelor's Degree (relevant experience may substitute formal education)
Current Registered Nursing License
Minimum of 4-6 years of prior clinical experience
Familiarity with medical records assembly and clinical terminology
Working knowledge of basic coding guidelines

Keywords: VirtualVocations, Abilene , Clinical Appeals Registered Nurse, Healthcare , Abilene, Texas

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