About this role
RN Denial Management Specialist at Bannerhealth. Location: Phoenix or Alaska or Alabama or Arkansas or Arizona or California or Colorado or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Michigan or Minnesota or Missouri or Mississippi or North Carolina or North Dakota or Nebraska or New Mexico or Nevada or New York or Ohio or Oklahoma or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin or Wyoming. Role: reviewing charts, preparing appeals, analyzing denials Requirements: Active RN licensure in state worked, 5+ years clinical nursing (case management/utilization review preferred), experience auditing DRG/reimbursements, knowledge of federal/state/commercial payor rules, strong communication and critical thinking, proficiency with office software. Category: Healthcare Services - Nursing Seniority: Senior Level Certifications: registered nurse (rn) Commitment: Full Time Workplace: Remote Languages: English