2 appeals nurse jobs at 2 companies in Trinity, FL

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Denials Management Appeals Nurse (Anesthesia)
United States or Tampa
$81k-$121k/yr RemoteFull Time
Shriners Children's
Shriners Children's: Provides specialized pediatric medical care regardless of financial ability.
5+ YOECurrent RN license in state of employment, 5+ years clinical hospital experience with 3 years anesthesia experience, experience in third-party payor appeals/revenue cycle and utilization review; familiarity with medical necessity criteria and claims appeals.
Epic, Craneware, Waystar, InterQual
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Medicare Advantage Appeals RN - Remote
Clearwater, Florida, United States
RemoteFull Time
BayCare Health System
BayCare Health System: Operates non-profit hospitals and outpatient healthcare facilities in Florida.
2+ YOE2 years clinical appeals experience in a health plan preferred; active RN license and BLS/CPR commonly required; knowledge of Medicare Advantage and regulatory standards; strong documentation and communication skills.