Remote Denials Appeals Nurse—Payer Authorization Expert

Shriners Children’s is seeking an Authorization Denials Appeals Nurse to manage denial appeals by reviewing clinical documentation and determining if retro-authorization is warranted. The appeals nurse will serve as a clinical resource to the Central Authorization Unit and provide peer-to-peer reviews when the payer allows a nurse to participate in the process.

The nurse will write compelling arguments for appealing denials and maintain knowledge of payer criteria.