Clinical Denial Specialist RN

Christus Health seeks a skilled Clinical Necessity Denials Specialist to manage and communicate denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This position involves reviewing cases based on clinical guidelines, facilitating the appeal process,...

Job SummaryWe are seeking a highly skilled Clinical Appeals Specialist RN to join our team at Christus Health. This is a full-time position responsible for managing denial and appeal processes, providing case analysis, and coordinating with healthcare teams to resolve issues related to medical necessity.About the RoleThe successful candidate will be...

We are seeking a skilled Clinical Denial Specialist to join our team at Christus Health.About the RoleThe successful candidate will be responsible for managing denials and appeals from various third-party entities concerning medical necessity and level of care. This role involves reviewing cases, communicating with stakeholders, and orchestrating educational...

About the RoleWe are seeking an experienced Clinical Appeals and Denial Management Nurse II to join our team at Christus Health. This is a full-time position that offers a competitive salary of $83,000 - $95,000 per year.Job SummaryThe Clinical Appeals and Denial Management Nurse II will be responsible for managing appeals of medical necessity denials from...

About Christus HealthWe are a leading healthcare provider dedicated to delivering exceptional patient care. Our team of experienced professionals is committed to making a positive impact on the lives of our patients and communities.Salary InformationThe estimated annual salary for this role is $83,500 - $110,000, depending on location and experience.Job...

About CHRISTUS HealthCHRISTUS Health is a leading healthcare provider with a commitment to delivering high-quality patient care.Salary: $83,110 - $125,000 per yearThis role offers a competitive salary range and opportunities for professional growth and development.Job DescriptionThe Clinical Appeals Nurse Specialist will be responsible for managing and...

Job Summary:We are seeking a highly skilled Clinical Appeals Nurse Specialist to join our team at Christus Health. The successful candidate will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and government entities/auditors.Key Responsibilities:Analyze governmental denial rationales...

Job SummaryWe are seeking a skilled Clinical Appeals Nurse to join our team at Christus Health. As a key member of our healthcare team, you will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.About the...

Job Description:Clinical Appeals and Denial Management Role at Christus HealthThe Medical Necessity Specialist II manages the process of denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care. This role serves as a liaison for clinical denials inquiries, reviews cases against established...

Job OverviewEthos Behavioral Health Group LLC is seeking a detail-oriented and organized Healthcare Administrative Specialist to join its team in Woodway. This role is responsible for collecting patients' financial responsibilities and performing non-clinical administrative duties.Key Responsibilities:Financial Communication: Assist with communicating...

Job DescriptionWe are seeking a dedicated and detail-oriented RN Clinical Appeals Nurse to join our team at Christus Health. As a key member of our clinical appeals process, you will play a crucial role in ensuring that patients receive the medical care they need.Responsibilities:Review and analyze governmental denial rationales to provide appropriate...

About Christus Health">Christus Health is a leading healthcare provider dedicated to delivering high-quality patient care. Our organization is committed to fostering a collaborative and supportive environment that promotes the well-being of our patients, employees, and communities. Job SummaryWe are seeking an experienced Medical Necessity Appeal Nurse...

Christus Health is seeking a skilled Clinical Appeals Nurse II to manage denial and appeal processes from third-party payers, providing case analysis and coordinating with healthcare teams to resolve issues related to medical necessity.About the RoleThis role is responsible for reviewing governmental denial rationales, analyzing Medicare guidelines, and...

About the Role:">We are seeking a highly skilled and experienced Clinical Appeals Nurse to join our team at Christus Health. As a Clinical Appeals Nurse, you will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level...

Job DescriptionThe Medical Necessity Appeals Specialist at Christus Health is a critical role that requires strong clinical knowledge and analytical skills.About the Job:Manage denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care.Draft appeal letters and ensure timely filing to minimize revenue...

Job SummaryCare Coordinators play a vital role in supporting the coordination of clinical objectives for patient referrals towards exceptional performance at Nexus Health Systems. The successful candidate will have financial and clinical accountability over referral protocols, working collaboratively with clinical and non-clinical departments to meet...

Job OverviewWe are seeking a skilled and compassionate Mobile Research Nurse to join our dynamic team at WEP Clinical. As a key member of our clinical research team, you will play a crucial role in ensuring the successful execution of research studies.Salary and BenefitsThe hourly rate for this position is $55/hour onsite and $50/hour travel time, with...

Job Summary:The Clinical Appeals Nurse II is a critical role at Christus Health, responsible for managing denial and appeal processes from third-party payers. This position requires strong case analysis skills and the ability to coordinate with healthcare teams to resolve issues related to medical necessity.

We are seeking a skilled Healthcare Revenue Cycle Specialist to join our team at Sherloq Solutions.About the RoleThis is a challenging opportunity for individuals with experience in medical claims billing, insurance collections, coding, and denials management. The ideal candidate will have three years of healthcare industry experience and a high school...

Job DescriptionThis position is a crucial part of our team at Christus Health, focusing on medical necessity appeals and denials management. We are seeking a highly skilled Clinical Appeals Nurse to join our staff.About the RoleWe strive to provide exceptional patient care, and this role plays a vital part in ensuring that our patients receive necessary...