Grady Health System is seeking a Clinical Appeals Nurse to evaluate payor clinical denials and downgrades, collaborating with stakeholders to prepare effective appeals. The role requires RN-level clinical experience and familiarity with utilization review criteria such as InterQual, plus strong communication skills.
The nurse will track appeal status in the Epic system, report success rates by payor, and help identify denial trends to improve revenue performance across the health system.
#J-18808-LjbffrClinical Appeals Nurse: Resolve Payor Denials in atlanta at Unknown Company
This position is listed as full time and onsite.