Appeal Resolution Nurse Salary in the United States

How much does an Appeal Resolution Nurse make in the United States? The average Appeal Resolution Nurse salary in the United States is $83,036 as of April 26, 2022, but the range typically falls between $76,788 and $90,951. 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, Salary.com helps you determine your exact pay target.  View the Cost of Living in Major Cities

Job Description

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. Understands and interprets applicable medical terminology, clinical procedures, regulations and policies. Documents cases according to guidelines and standard procedures. 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. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience. (Copyright 2022 Salary.com)

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Average Base Salary

Core compensation

 
 
 
76788
90951
83036

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
80219
95804
87684
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 $76,788 to $90,951 with the average base salary of $83,036. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $80,219 to $95,804 with the average total cash compensation of $87,684.
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76788
90951

 

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Career Path for this job

  1. This Job:

    Appeal Resolution Nurse

    4 - 7 years experience
    Bachelor's Degree

  2. Up a level:

    Appeal Resolution Supervisor

    3 + years experience
    Bachelor's Degree

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Job Openings for Appeal Resolution Nurse