• Denials Prevention Specialist

    Datavant (Nashville, TN)
    …to realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with… more
    Datavant (11/12/25)
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  • Care Management Specialist - Behavioral…

    WellSpan Health (Chambersburg, PA)
    **Schedule** PRN , Day Shift Hours: 8:00am - 4:30pm Rotation: Every 4th weekend rotation **General Summary** A professional who provides assessment and coordination ... identification and investigation of issues related to precertification, reimbursement, denials , insurance availability, etc., and promptly notifies physician. +… more
    WellSpan Health (10/31/25)
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