Denials Rn Coordinator

Ensemble Health Partners

Base: $62,500.00 - $79,800.00 annually; bonus: inc...
Fully remote
Registered nurse license required
5 to 7 years of experience
Review complex medical records
The Denials RN Coordinator prepares appeals for clinical and technical claim denials across all client hospital facilities

Job Summary

  • The Denials RN Coordinator prepares appeals for clinical and technical claim denials across all client hospital facilities.
  • Ensemble offers comprehensive benefits including tuition reimbursement, paid certifications, and bonus incentives for high performers.
  • Candidates must demonstrate advanced usage of AI and the ability to manage teams using AI for process improvements.

Matching Summary

The Denials RN Coordinator prepares appeals for clinical and technical claim denials across all client hospital facilities.

Salary

Base: $62,500.00 - $79,800.00 annually; Bonus: Incentives available; Benefits: Comprehensive package including tuition reimbursement and paid certifications

Skills & Requirements

Must-have

  • Registered Nurse license required
  • 5 to 7 years of experience
  • Review complex medical records
  • Prepare clinical and technical appeals
  • Understand insurance contract terms

Nice-to-have

  • Experience with AI tools and management
  • Mentoring and training team members
  • Knowledge of ERISA compliance laws
  • Strong communication with providers
  • Trend analysis in payment discrepancies

Key Requirements

  • Active Registered Nurse (RN) License
  • 5 to 7 years of relevant experience
  • 4-year Bachelor's Degree preferred
  • 2 years denials or case management experience
  • Pass typing test of 45 words per minute

Work Rights

Not specified

Tailored Resume

Cover Letter