- Datavant (Hartford, CT)
- …Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials … more
- Nuvance Health (Danbury, CT)
- …Days, Evenings, Nights available* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within ... This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to...* Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of… more
- Nuvance Health (Danbury, CT)
- …retrospective denials , documents appropriately and routes to Denial Prevention RN in a timely manner. 12. Communicates with insurance companies to schedule ... quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in...to appeals, denial and clinical reviews 9. Reviews new denials and appeal upheld cases in work queue and… more
- Hartford HealthCare (Farmington, CT)
- …DRG denial management and appeals preferred. **Licensure, Certification, Registration** * Active Registered Nurse license from the State of Connecticut * ... Denial Specialist is responsible for reviewing, analyzing and appealing denials related to DRG (Diagnostic Related Group) downgrades. This role involves… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... and completeness, following regulatory requirements, in order to resolve edits, denials or exceptions detected during system processing of the claim. *_Position… more