Denials RN Coordinator - REMOTE

Jobgether · Austria

Company

Jobgether

Location

Austria

Type

Full Time

Job Description

Team: General

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Denials RN Coordinator. In this role, you will be responsible for preparing appeals for clinical and technical claim denials across various healthcare facilities. You will play a crucial part in ensuring healthcare providers receive just compensation by analyzing claims, reviewing medical records, and coordinating with clinical teams. Your expertise in insurance policies and compliance will help streamline processes and improve outcomes for clients. This position emphasizes collaboration, analytical skills, and a commitment to excellent service within the healthcare revenue cycle management industry.

Accountabilities

  • Review complex claims and escalate clinical or technical denials for potential appeals.
  • Extensively review medical records to determine medical necessity and prepare appeal documentation.
  • Analyze claim denials to identify trends and additional payment opportunities.
  • Coordinate with Clinical Denial team and Case Management to communicate denial outcomes.
  • Mentor and train Clinical Denial and Underpayment team members.
  • Ensure compliance with HIPAA and ERISA regulatory requirements.
  • Requirements

  • Registered Nurse (RN) license required.
  • 5 to 7 years of experience in healthcare revenue cycle management.
  • Bachelor's degree preferred.
  • Experience in denials, utilization review, or case management strongly preferred.
  • Excellent communication and mentoring skills.
  • Proficiency in using AI for process and team management.
  • Benefits

  • Bonus incentives based on performance.
  • Paid certifications and continuing education opportunities.
  • Tuition reimbursement for professional development.
  • Comprehensive benefits package to support health and well-being.
  • Opportunities for career advancement.
  • Work-life flexibility and a supportive work culture.
  • Apply Now

    Date Posted

    03/20/2026

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