About this opportunity
Grady Health System lists this Clinical Appeals Nurse: Resolve Payor Denials opportunity in atlanta, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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.
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Worksite address
atlanta, GA, 30383, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.