Clinical Denials Management Specialist (Fully Remote)

Partner Company; United States; Remote; USD 80,000 - 110,000; Full time

Benefits offered by this job

Remote work

Paid time off (PTO)

Healthcare

Job summary

Partner Company, a healthcare system delivering hospital services, seeks an RN with 3+ years in acute care and utilization review for a fully remote, full-time role.

You will review and appeal denied claims using clinical evidence, and collaborate across teams to prevent future denials, contributing to revenue integrity and patient care quality. Comprehensive healthcare, retirement, and parental leave are included.

Qualifications

• RN with 3+ years of acute care experience and utilization review experience.
• Strong coding, billing, and appeals writing skills.

Responsibilities

• Review and appeal denied claims using clinical evidence.
• Collaborate across teams and prevent future denials.

Skills

RN background

Utilization review

Coding

Billing

Appeals writing

Job description

• Review and appeal denied claims using clinical evidence.
• Collaborate across teams and prevent future denials.

Qualifications

• RN with 3+ years acute care and utilization review experience.
• Strong coding, billing, and appeals writing skills.
• Remote full-time role with competitive salary and PTO.
• Comprehensive healthcare, retirement, and parental leave.

Partner Company

This partner company is a healthcare system that provides hospital services and focuses on revenue integrity. It supports fully remote work and values clinical expertise, collaboration, and financial sustainability.