Appeals Manager
$91K - $93K/yr
... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...
Appeals Manager
$91K - $93K/yr
... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · Remote
$29.05 - $56.64/hr
... support weekend and holiday coverage as business needs require . Prior experience in Utilization ... Supplies criteria supporting all recommendations for denial or modification of payment decisions.
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · Remote
$29.05 - $56.64/hr
... support weekend and holiday coverage as business needs require . Prior experience in Utilization ... Supplies criteria supporting all recommendations for denial or modification of payment decisions.
Appeals Manager
$23 - $28.25/hr
... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...
Appeals Manager
$23 - $28.25/hr
... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...
Appeals Manager
Bronx, NY · On-site
$91K - $93K/yr
... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...
Appeals Manager
Bronx, NY · On-site
$91K - $93K/yr
... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...
Supervisor, Clinical Compliance (RN) - Remote
Rockford, IL · Remote
$85K - $91K/yr
Serving as a secondary reviewer to ensure adherence to the denial process and all denial compliance ... Experience in the UM and PHM process and managed care. * Strong organizational, written and ...
Supervisor, Clinical Compliance (RN) - Remote
Rockford, IL · Remote
$85K - $91K/yr
Serving as a secondary reviewer to ensure adherence to the denial process and all denial compliance ... Experience in the UM and PHM process and managed care. * Strong organizational, written and ...
Prior Authorization Systems Pharmacist
Manhattan, NY · On-site
$64.25 - $77.25/hr
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently ... Experience managing utilization management (UM) criteria preferred This range represents the low ...
Prior Authorization Systems Pharmacist
Manhattan, NY · On-site
$64.25 - $77.25/hr
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently ... Experience managing utilization management (UM) criteria preferred This range represents the low ...
Supervisor, Clinical Compliance (RN) - Remote
Rockford, IL · On-site +1
$85K - $91K/yr
Serving as a secondary reviewer to ensure adherence to the denial process and all denial compliance ... Experience in the UM and PHM process and managed care. * Strong organizational, written and ...
Supervisor, Clinical Compliance (RN) - Remote
Rockford, IL · On-site +1
$85K - $91K/yr
Serving as a secondary reviewer to ensure adherence to the denial process and all denial compliance ... Experience in the UM and PHM process and managed care. * Strong organizational, written and ...
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
Prior Authorization Systems Pharmacist
Denver, CO · On-site
$60 - $72/hr
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently ... Experience managing utilization management (UM) criteria preferred This range represents the low ...
Prior Authorization Systems Pharmacist
Denver, CO · On-site
$60 - $72/hr
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently ... Experience managing utilization management (UM) criteria preferred This range represents the low ...
Prior Authorization Systems Pharmacist
Charlotte, NC · On-site
$57 - $68.25/hr
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently ... Experience managing utilization management (UM) criteria preferred This range represents the low ...
Prior Authorization Systems Pharmacist
Charlotte, NC · On-site
$57 - $68.25/hr
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently ... Experience managing utilization management (UM) criteria preferred This range represents the low ...
Key Responsibilities: Clinical Letter Writing Team Leadership: * Build, lead, and scale the ... Knowledge of DRG coding, CDI best practices, and payer denial trends. * Experience working with ...
Key Responsibilities: Clinical Letter Writing Team Leadership: * Build, lead, and scale the ... Knowledge of DRG coding, CDI best practices, and payer denial trends. * Experience working with ...
Area Coordinator and Community Director, UM Housing
Missoula, MT · On-site
$45K - $52K/yr
... written word * Maintain strict confidentiality of sensitive material in accordance with FERPA and ... Letter of Interest - addressing the stated required skills for the position * Detailed resume ...
Area Coordinator and Community Director, UM Housing
Missoula, MT · On-site
$45K - $52K/yr
... written word * Maintain strict confidentiality of sensitive material in accordance with FERPA and ... Letter of Interest - addressing the stated required skills for the position * Detailed resume ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
This position will work rotating weekends. * Responsible for day to day operations of the Pre ... Requires excellent human relations, interpersonal and oral/written communication skills * Able to ...
Facilities Associate, UM Housing
Missoula, MT · On-site
$17.83/hr
Read instructions, safety information, policies and procedures; and write * Demonstrated skill in ... includes weekends), 12 months/year Probationary Period: Six (6) months minimum Benefits Include
Facilities Associate, UM Housing
Missoula, MT · On-site
$17.83/hr
Read instructions, safety information, policies and procedures; and write * Demonstrated skill in ... includes weekends), 12 months/year Probationary Period: Six (6) months minimum Benefits Include
Clinical Manager The Clinical Manager of the Utilization Management (UM) Department oversees the ... and weekends. Full command (written and verbal) of the English language. Ability to maintain ...
Clinical Manager The Clinical Manager of the Utilization Management (UM) Department oversees the ... and weekends. Full command (written and verbal) of the English language. Ability to maintain ...
... UM cases, peer-to-peer review requests, and denial appeals. * Coordinate with clinical teams ... Exceptional written and verbal English communication skills. * High attention to detail with the ...
Quick apply
... UM cases, peer-to-peer review requests, and denial appeals. * Coordinate with clinical teams ... Exceptional written and verbal English communication skills. * High attention to detail with the ...
Utilisation Management Expert - RN
New York, NY · Remote
$100 - $150/hr
... UM cases, peer-to-peer review requests, and denial appeals. * Coordinate with clinical teams ... Exceptional written and verbal English communication skills. * High attention to detail with the ...
Quick apply
Utilisation Management Expert - RN
New York, NY · Remote
$100 - $150/hr
... UM cases, peer-to-peer review requests, and denial appeals. * Coordinate with clinical teams ... Exceptional written and verbal English communication skills. * High attention to detail with the ...
Weekend Um Denial Letter Writer information
See salary details
$42K - $50.5K
16% of jobs
$54.5K is the 25th percentile. Wages below this are outliers.
$50.5K - $59.1K
20% of jobs
$59.1K - $67.6K
8% of jobs
The median wage is $71.9K / yr.
$67.6K - $76.2K
12% of jobs
$76.2K - $84.7K
15% of jobs
$84.7K - $93.3K
3% of jobs
$95.1K is the 75th percentile. Wages above this are outliers.
$93.3K - $101.8K
6% of jobs
$101.8K - $110.4K
17% of jobs
$110.4K - $118.9K
0% of jobs
$118.9K - $127.5K
0% of jobs
$127.5K - $136K
3% of jobs
$42K
$78.9K
$136K
How much do weekend um denial letter writer jobs pay per year?
As of Aug 7, 2026, the average yearly pay for weekend um denial letter writer in the United States is $78,865.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $102,000.00 per year, depending on experience, location, and employer.
What cities are hiring for Weekend Um Denial Letter Writer jobs? Cities with the most Weekend Um Denial Letter Writer job openings:
What are the most commonly searched types of Um Denial Letter Writer jobs? The most popular types of Um Denial Letter Writer jobs are:
What states have the most Weekend Um Denial Letter Writer jobs? States with the most job openings for Weekend Um Denial Letter Writer jobs include:
BronxCare Health System rating
6.9
Based on 10 frontline employees who took The Breakroom Quiz
Job description
Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to patients. Assist in development of strategies for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and educate staff on variances found. Conduct JCAHO preparation activities to insure hospital wide compliance and readiness. Assist in the design and implementation of educational programs for Denial Prevention and Management.
- Establish and maintain positive relationships with patients, visitors, and other employees. Interacts professionally, courteously, and appropriately with patients, visitors and other employees. Behaves in a manner consistent with maintaining and furthering a positive public perception of Bronx-Lebanon Hospital Center and its employees.
- Contributes to and participates in the Performance/Quality Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service.
- Reviews and denials notification letters along with the medical records and all pertinent documentation related to the episode of care being denied in order to prepare a response for submission in appeal.
- In absence of Director, will review denial correspondence to determine validity of denial reason and course of action to be taken.
- Maintains a working knowledge of MCG guidelines /InterQual Acute Level of Care Criteria in order to be able to apply to episode of care and utilize in the formulation of a strong appeal.
- Identifies and monitors for patterns and trends in denial activity by service and/or provider for the purpose of reporting and implementing corrective measures.
- Provide feedback to UM staff related to denial prevention strategies.
- Participates in JCAHO hospital wide preparation activities as designated by Director.
- Conducts departmental performance improvement activities and monitoring on a quarterly basis and reports findings/analysis to Director.
- Conducts educational/feedback sessions with UM staff related to PI activity findings and need for corrective action in order to improve outcomes.
- Maintains an excel log related to denials/appeals activities in order to monitor successful appeals.
- Assists with preparation of quarterly reports for Bd. Of Trustees, Administration and Providers as needed.
- Participates in special projects and committees as determined by Director.
CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate preferred . Prior experience with reviewing medical charts in a medical office or hospital would be preferred. Knowledge of Interqual / MCG guidelines will be a benefit.
- Knowledgeable regarding CMS, JCAHO, IPRO standards, regulations, monitoring and reporting systems.
- Knowledgeable regarding Regulatory Agency Mandates (State and Federal).
- Excellent interpersonal, computer, verbal and written communication skills.
- Ability to work independently as well as in teams for the purpose of advancing departmental goals and objectives of denial reduction.
- Extensive Computer Knowledge
What BronxCare Health System employees say
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Benefits
Hours and flexibility
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About BronxCare Health System
Sourced by ZipRecruiter
BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network are delivering the highest quality and accessible services to the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to one million visits annually. Its ER is one of the busiest in New York.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
New York, NY, US
Year founded
1890