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Healthcare Administration Healthcare Nursing

Clinical Reviewer: POC & Denials Expert

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Acentra Health
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 34.2 - 38 USD Hourly USD 34.20 38.00 HOUR
Job Description & How to Apply Below
A healthcare solutions provider in Raleigh, NC is seeking a Clinical Reviewer to utilize clinical expertise in reviewing medical records against criteria. Responsibilities include ensuring accuracy and timeliness of reviews, drafting denial letters, and maintaining knowledge of clinical practices. Preferred candidates have an RN license and experience with NC Medicaid. This position offers competitive pay ranging from $34.20 to $38.00 per hour, along with benefits including comprehensive health plans and educational assistance.
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