Denial Analyst - RN
FMOLHS•Baton Rouge, LA
About The Position
Responsible for handling administrative and medical appeals that require clinical input or interpretation, directing and coordinating all aspects of denied claims, provide coordination of comprehensive clinical documentation to third-party payers and state agencies to secure accurate payment, and the ability to identify coding or clinical documentation issues.
Requirements
- Registered Nurse (RN) license
- Clinical input or interpretation skills
- Ability to identify coding or clinical documentation issues
Responsibilities
- Handling administrative and medical appeals that require clinical input or interpretation
- Directing and coordinating all aspects of denied claims
- Providing coordination of comprehensive clinical documentation to third-party payers and state agencies to secure accurate payment
- Identifying coding or clinical documentation issues
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What This Job Offers
Career Level
Senior
