Clinical Nurse Appeal Analyst

Exact Sciences Corporation(28 days ago)

Madison, WIOnsiteFull TimeMedior$57,000 - $102,000Revenue Cycle

About this role

The Clinical Nurse Appeal Analyst at Exact Sciences reviews and responds to payer clinical denials, ensuring appeals are supported by appropriate clinical documentation and medical necessity. The role acts as a liaison between clinical departments and the Revenue Cycle team to analyze medical records, draft evidence-based appeals, and inform denial management strategy.

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Required Skills

Clinical Appeals
Utilization Review
Case Management
Medical Documentation
Medical Necessity
EMR Systems
Denial Management
Appeals Drafting
Critical Thinking
Written Communication

+2 more

Qualifications

Associates Degree in Nursing
Active RN License

About Exact Sciences Corporation

exactsciences.com

Exact Sciences is a leading company dedicated to cancer prevention and early detection through innovative testing solutions. Specializing in molecular diagnostics, the firm provides advanced tests that help identify potential malignancies and guide therapy decisions. Their flagship product, Cologuard, is a non-invasive screening test for colorectal cancer, contributing significantly to patient health management. Exact Sciences aims to enhance patient outcomes by promoting early detection and regular screenings.

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