Virginia Licensed Clinical Nurse
A company is looking for a Registered Nurse (RN) Clinical Denials and Appeals to join their team. Key Responsibilities Support the program for retro Medicaid claims and post-admission retro claims Review denied claims to assess clinical care appropriateness and determine appeal necessity Collaborate with various departments to ensure accurate documentation for appeals and provide education on best practices Required Qualifications Bachelor's degree or equivalent of Associate's degree with RN license Three years of RN licensed experience in a clinical or hospital setting RN license or licensed to practice in the Commonwealth of Virginia as an RN
A company is looking for a Registered Nurse (RN) Clinical Denials and Appeals to join their team.
Key Responsibilities
Support the program for retro Medicaid claims and post-admission retro claims
Review denied claims to assess clinical care appropriateness and determine appeal necessity
Collaborate with various departments to ensure accurate documentation for appeals and provide education on best practices
Required Qualifications
Bachelor's degree or equivalent of Associate's degree with RN license
Three years of RN licensed experience in a clinical or hospital setting
RN license or licensed to practice in the Commonwealth of Virginia as an RN
