Job Description
- Job Description:
- Manage inpatient and outpatient provider appeals across all payer types, including government and commercial insurance
- Review clinical denials (non-billing related), identify root causes, and perform post-claim analysis to support appeal submissions
- Requirements:
- 3 years experience in Nursing REQUIRED
- RN-Diploma (Non-degree) REQUIRED; Bachelors Degree in Nursing preferred
- Registered Nurse (RN) License (Compact or Virginia) preferred
- Case Management experience preferred
- Benefits:
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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