Remote RN: Clinical Denials & Utilization Review

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Jackson Health System is seeking a Clinical Denials Coordinator to support the Revenue Cycle's Utilization Review team across ED, inpatient, and central clearance workflows. This role reviews denied accounts, identifies trends, and partners with payors and denial agencies to improve recoveries and reduce denials. The position requires 3–5 years of related experience, RN background preferred (ED/ICU/IR/OR), InterQual review experience, and a Bachelor's in Science with advanced credentials

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