Clinical Denials and Appeals RN
Company: VirtualVocations
Location: Pasadena
Posted on: November 14, 2024
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Job Description:
A company is looking for a Clinical Denials and Appeals RN -
Remote.
Key Responsibilities
Conduct medical necessity reviews and ensure documentation
integrity
Construct warranted appeals and coordinate pre-service
authorization approvals
Perform comprehensive denial root-cause analysis and retrospective
medical record reviews
Required Qualifications
Current Registered Nursing License
Bachelor's Degree or equivalent
Minimum of 4-6 years clinical experience
Clinical denials experience required
Utilization review experience is a plus
Keywords: VirtualVocations, Houston , Clinical Denials and Appeals RN, Healthcare , Pasadena, Texas
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