• Clinical Appeals Medical Collector

    Robert Half Accountemps (Los Angeles, CA)
    …expertise in denials management and medical collections? We are seeking a Clinical Appeals Medical Collector to join our team remotely! The ideal candidate ... will be experienced in handling denials , appeals , and working with various insurance...+ Proficiency in medical billing software and systems. + RN , LVN, or medical coding certification is a plus.… more
    Robert Half Accountemps (10/26/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education ... quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals . + Partners with peers and Director to develop… more
    Community Health Systems (09/09/25)
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  • Utilization Rev Appeals Spec

    University of Michigan (Ann Arbor, MI)
    Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and ... knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance… more
    University of Michigan (10/25/25)
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  • Registered Nurse - Utilization…

    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. ... team to assess and improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding… more
    Beth Israel Lahey Health (10/30/25)
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  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …concurrent and retrospective reviews for level of care and continued stay * Lead appeals of clinical denials and collaborate with physician advisors * ... understanding of reimbursement systems. You will manage concurrent reviews, appeal clinical denials , and support accurate level-of-care determinations. Key… more
    Beth Israel Lahey Health (10/30/25)
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  • Denial Resource Center RN

    Baylor Scott & White Health (Dallas, TX)
    **JOB SUMMARY** The Denial Resource Center Registered Nurse ( RN ) is responsible for Baylor Scott & White Health denial management functions. The Denial ... status. **ESSENTIAL FUNCTIONS OF THE ROLE** Review coding and clinical denials to ensure accuracy and compliance...EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN ) Hybrid expectation-… more
    Baylor Scott & White Health (10/31/25)
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  • Per Diem RN - Case Management - Sharp…

    Sharp HealthCare (La Mesa, CA)
    …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with… more
    Sharp HealthCare (09/06/25)
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  • Inpatient Auth Review Services RN or LPN

    HCA Healthcare (Plano, TX)
    …meaningful as we do. We want you to apply! **Job Summary and Qualifications** The IPAT Clinical Analyst Registered Nurse or Licensed Practical Nurse will ... Contact facilities, physicians' offices and/or insurance companies to resolve denials / appeals if needed. + Demonstrates knowledge of...care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the… more
    HCA Healthcare (10/31/25)
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  • RN Case Manager

    Amergis (French Camp, CA)
    … documentation and critical thinking ?? Required Experience: + 2+ years of clinical RN experience + Acute Case Management experience + Current Discharge ... Salary: $3242 / Week The RN Case Manager is responsible for coordinating continuum...Management experience ? Key Responsibilities: + Discharge Planning + Appeals & Denials + Utilization Review +… more
    Amergis (09/27/25)
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  • AVP Care Coordination

    Nuvance Health (Danbury, CT)
    …or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience in an acute care setting * ... strategic leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non- clinical support staff while… more
    Nuvance Health (09/10/25)
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