• Registered Nurse - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. + Conducts ... the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established… more
    Beth Israel Lahey Health (08/16/25)
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  • Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. + Conducts ... the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established… more
    Beth Israel Lahey Health (08/15/25)
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  • Revenue Cycle Specialist III

    East Boston Neighborhood Health Center (East Boston, MA)
    …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... work queues, including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure… more
    East Boston Neighborhood Health Center (06/29/25)
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