Appeals and Denials Nurse

At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-Revenue Cycle management within the healthcare industry. Our team of experts have placed thousands of professionals that support organizations ranging from small, community-based hospitals to the largest healthcare systems in the nation. Our mission? Bringing health to hospitals’ bottom lines.

Reviews and completes continuous daily work queue volume of denials. Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs) Analyzes work queues and other system report and identifies denial/non-payment trends Maintains open communication with third party payor representatives to resolve claim issues. Identifies, reviews, and interprets third party denials Initiates corrected claims and appeals according to payer guidelines. Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines. Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written. Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor. Meets productivity standards or consistently exceeds productivity standards