St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers.
You will collaborate with Case Management and Billing to improve denial workflows and maximize timely reimbursements. Qualified candidates will have nursing experience, RN license, and 2–5 years in case/un utilization management with exposure to payer appeals.
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