Appeals Nurse (28670) New

APPEALS NURSE

BridgePoint+ Healthcare

 

At BridgePoint, whether you work with patients every day or support those who do, you are making a difference that matters. We know the path to recovery doesn't happen alone. As a team, we work cohesively to meet each patients unique needs. We are a team-driven environment and we care about our own!

Our employees form the foundation of everything we do optimizing patient healing and wellness, and creating a warm and welcoming environment. It is because of the dedication of our employees that we can live out our mission, vision, and company values every day.

It is at BridgePoint where care, community, and careers happen.

APPEALS NURSE JOB SUMMARY:

Here at BridgePoint, the Appeals Nurse is responsible for managing payer denials and coordinating the appeal process to ensure accurate reimbursement for medically necessary LTACH services. The Appeals Nurse role involves detailed clinical review of medical records, preparation of evidence-based appeal letters, and collaboration with physicians and clinical teams to support medical necessity, continued care, and regulatory compliance. The Appeals Nurse plays a critical role in protecting hospital revenue, improving documentation quality, and reducing denial rates across LTACH facilities.

Appeals Nurse, RN Appeals, Appeals and Denials, Case Management, Care Coordination

Education: Associates degree. Bachelor's degree preferred.

Licenses/Certification: Current RN - Registered Nurse license.

Experience: Minimum 2 years of acute care experience in a hospital or LTACH.

Safety Sensitive-Designated Positions

 

About BridgePoint

BridgePoint Healthcare is dedicated to promoting healing and wellness in a safe and welcoming environment, with an individualized path to recovery for each patient. BridgePoint Healthcare provides patient-centered, individualized care for patients requiring longer hospitalizations in post-acute care settings. We are a diversified provider of post-acute care in settings ranging from long-term acute care hospitals to skilled nursing facilities. Our locations include two in Washington, DC (BridgePoint Hospital National Harborside and BridgePoint Hospital Capitol Hill), and one in New Orleans (BridgePoint Continuing Care Hospital - West Jefferson Campus).