Tenet Healthcare Appeals RN Case Manager BROWNSVILLE in Brownsville, Texas
Assists the RN Appeals Manager with denials by analyzing the results of an audit and preparing an appeal as necessary. Appeals various types of denials from insurance companies, managed care companies, and governmental payors, etc. Works with our Recovery Audit Contractor Company and coordinates any activity. Maintains a log/database of denials / appeals for reporting purposes. Completes established competencies for the position. Complies with HIPAA regulations and observes confidentiality.
Associate’s degree in nursing required. Bachelor’s degree preferred.
Current Texas Licensure as a Registered Nurse required.
3-5 years experience in Case Management / Utilization Review preferred.
Organization: Valley Baptist Medical Center - Brownsville
Title: Appeals RN Case Manager BROWNSVILLE
Requisition ID: 1705033992