About this opportunity
Grady-Health-System lists this Clinical Appeals Nurse — Payor Denials Specialist opportunity in atlanta, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Grady Health System in Atlanta, GA seeks a Clinical Appeals Nurse to evaluate payor denials and level of care status downgrades, and to compose informed appeals to overturn denials. The role relies on RN clinical experience and familiarity with utilization review criteria such as InterQual, with strong written and verbal communication.
The nurse will track appeals in Epic, report success rates by payor, and collaborate with Care Management and Revenue Strategy to improve processes and reduce
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Worksite address
atlanta, GA, 30383, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.