How much does an Appeal Resolution Nurse make in the United States? The average Appeal Resolution Nurse salary in the United States is $85,622 as of February 27, 2023, but the range typically falls between $79,177 and $93,780. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, helps you determine your exact pay target. 

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Based on HR-reported data: a national average with a geographic differential
25% $79,177 10% $73,310 90% $101,207 75% $93,780 $85,622 50%(Median)
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Job Description for Appeal Resolution Nurse

Appeal Resolution Nurse conducts the medical review activities needed to resolve and process clinical appeals and claims. Reviews applicable medical records and assesses clinical data to investigate and resolve disputes over the medical necessity for services, approvals, pre-certifications, or other cases. Being an Appeal Resolution Nurse understands and interprets applicable medical terminology, clinical procedures, regulations and policies. Documents cases according to guidelines and standard procedures. Additionally, Appeal Resolution Nurse prepares the documentation required for further medical review, hearings, and different appeal processes. Typically requires a bachelor's degree in nursing or equivalent. Requires a Registered Nurse (RN) license. Typically reports to a manager. The Appeal Resolution Nurse work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be an Appeal Resolution Nurse typically requires 4 -7 years of related experience. (Copyright 2023 View full job description

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Job Openings for Appeal Resolution Nurse
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Jeffrey D. Ayers, Senior Vice President, General Counsel and Corporate Secretary
Career Education Corporation operates colleges, institutions, and universities that provide education to student population in various career-oriented disciplines through online, campus based, and blended learning programs in the United States. It operates through three segments: Colorado Technical University, American... More
Fiscal Year Ended in 2021
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City, State Compared to national average
City, State San Francisco, CA Compared to national average
+ 25.0%
City, State Washington, DC Compared to national average
+ 11.3%
City, State Miami, FL Compared to national average
City, State Chicago, IL Compared to national average
+ 5.5%
City, State Boston, MA Compared to national average
+ 12.7%
City, State New York, NY Compared to national average
+ 17.5%
City, State Dallas, TX Compared to national average

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These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Appeal Resolution Nurse in the United States. The base salary for Appeal Resolution Nurse ranges from $79,177 to $93,780 with the average base salary of $85,622. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $82,717 to $98,777 with the average total cash compensation of $90,409.
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Skills associated with Appeal Resolution Nurse: Document Review, Medical Records Audit, Document Preparation, Claim Settlement Policies ...More

Salary estimation for Appeal Resolution Nurse at companies like : 2U INC, BRIGHT HORIZONS FAMILY SOLTN, GRAHAM HOLDINGS CO