Clinical Denials & Appeals Specialist (Registered Nurse)
Northwell Health•Melville, NY
399d•$78,000 - $130,000•Remote
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About The Position
The Clinical Denials & Appeals Specialist (Registered Nurse) plays a crucial role in reviewing and responding to corporate compliance audits, identifying denial trends, and addressing coding issues within the health system. This position serves as a liaison between patients, healthcare facilities, and third-party payers, ensuring compliance with utilization review standards and regulations while preparing and defending medical necessity cases.
