The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as demonstrated by the following: Performs reviews of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to determine appeal and or other actions such as: complete level of care downgrades for billing/clinical purposes, identifying further escalation options, participate in clinical meetings, reach out to payer contacts, communicate with physician clinics to obtain additional documentation to support appeal, collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our revenue. RN with 5 years clinical experience in acute healthcare setting and one or more of the following: 3-5 years insurance provider, auditing, or medical review experience performing activities related to denied claims such as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management; 3-5 years case management experience, or other related relevant experience.