RN Licensed Appeals Specialist

A company is looking for an Appeals Specialist II - RN / LPN (REMOTE).

Key Responsibilities

Review and resolve pre-pay insurance denials in collaboration with follow-up teams

Coordinate with Denial Coordinator and other staff for education and payer accountability

Consult with management on process development and recommendations for changes

Required Qualifications

H.S. Diploma or GED required

Bachelor's Degree in Nursing preferred

1-3 years of experience in healthcare revenue cycle or business office required

1-3 years of experience in healthcare insurance medical billing preferred

Current RN-BC license to practice in the state required