Clinical Denial Analyst (RN)

Gibsongeneral; Evansville (IN); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in Evansville is seeking a dedicated Registered Nurse for a full-time role. This position involves managing denials, collaborating with payors, and ensuring compliance with healthcare standards. The ideal candidate will have significant clinical experience and a passion for patient care. Flexible work schedules and professional development opportunities are offered, along with competitive compensation.

Benefits

Flexible work schedules

Onsite children’s care centers

Payactiv-earned wage benefit

Qualifications

• Active Registered Nurse (RN) license in Indiana or compact licensure state.
• Three to five years of clinical experience as an RN in an acute care or specialty hospital.

Responsibilities

• Work with assigned denials according to policy and productivity standards.
• Collaborate with third-party payors to secure payments and maintain accounts receivable goals.

Skills

Utilization Management

Collaboration

Education

BSN degree

Job description

Job Details

Requisition Number: CLINI008379

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• Posted: May 14, 2025
• Full-Time
• Remote
• Hourly Range: $28.71 USD to $40.19 USD

Locations

Showing 1 location

HRS Lloyd Expressway
1419 W Lloyd Expy
Evansville, IN 47710, USA

Eligible for evening/night, weekend shift incentives based on company policies and applicable job codes. Additional details will be provided during the interview process.

Compensation & Benefits

Potential for a performance-based bonus, subject to eligibility criteria and achievement of defined metrics. Details will be provided during the interview or upon hire.

We support our top talent with professional development opportunities and personal success initiatives, including:

• Flexible work schedules – Full time/part time/supplemental – Day/Eve/Night
• Onsite children’s care centers (Infant through Pre-K)
• Payactiv-earned wage benefit - work today, get paid tomorrow

Position Responsibilities

This role involves working with assigned denials (e.g., no authorization, medical necessity, readmission) according to policy and productivity standards. The coordinator will collaborate with third-party payors to secure payments, maintain accounts receivable goals, prepare appeals, report denial activities, and identify trends to reduce future denials.

Minimum Requirements

• Active Registered Nurse (RN) license in Indiana or other compact licensure state
• Three to five years of clinical experience as an RN in an acute care or specialty hospital
• At least two years performing utilization review, charge audit, or case management in an acute care or specialty hospital

Preferred Qualifications

• BSN degree

Additional Information

Key Words: Registered Nurse, HRS, Healthcare Resources, UM, Utilization Management

Department: HRS

Hours: Full-time, 40 hours/week

Equal Opportunity Statement

We are an Equal Opportunity Employer. All applicants will be notified of their rights under federal employment laws. For more information, review the 'Know Your Rights' notice from the Department of Labor.