Join Johns Hopkins Medicine as a remote Appeals Nurse - Technical Analyst, where you will manage clinical appeals and support billing teams. Utilize your nursing expertise to analyze data and lead a clinical appeals staff while enjoying a comprehensive benefits package.
Key Responsibilities
Timely resolution of clinical appeals from Patient Financial Services Billing
Communicate resolutions to appellants and assist non-clinical staff
Produce Epic reports and analyze data for appeals
Track appeals on logs and databases
Serve as a preceptor and resource for clinical appeals staff
Required Qualifications
Baccalaureate degree, associate degree, or diploma in nursing from an accredited School of Nursing
Registered Nurse licensed in the state of Maryland or compact license
Three years of acute care nursing experience
One year in the healthcare environment processing administrative and clinical appeals
Three years of health insurance standard of practice in case management, utilization management, appeals, or claims processing
Benefits & Perks
Full medical, dental, and vision plansRetirement plansPaid time off (PTO)Tuition reimbursement for employees and dependentsAnnual self-care incentiveEmployee Referral Program Bonus