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Medical Grievance and Appeals Nurse
$86,429 (USD)/yr
$41.55 (USD)/hr
$1,513 (USD)/yr
The average medical grievance and appeals nurse gross salary in San Antonio, Texas is $86,429 or an equivalent hourly rate of $42. This is 5% lower (-$4,549) than the average medical grievance and appeals nurse salary in the United States. In addition, they earn an average bonus of $1,513. Salary estimates based on salary survey data collected directly from employers and anonymous employees in San Antonio, Texas. An entry level medical grievance and appeals nurse (1-3 years of experience) earns an average salary of $60,317. On the other end, a senior level medical grievance and appeals nurse (8+ years of experience) earns an average salary of $107,446.
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This page is a promotion for SalaryExpert’s Assessor Platform and is not intended for professional use.
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ERI’s compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
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Salary Potential
$97,083 (USD)
12 %
Based on our compensation data, the estimated salary potential for Medical Grievance and Appeals Nurse will increase 12 % over 5 years.
Most Popular Skills for Medical Grievance and Appeals Nurse
Education
This chart displays the highest level of education for:
Medical Grievance and Appeals Nurse, the majority at 100% with bachelors.
Typical Field of Study: Nursing/Registered Nurse (RN, ASN, BSN, MSN)
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Salary Difference by Location
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City Overview
The cost of living in San Antonio, Texas is 5% less than the average cost of living in the United States. Cost of living is calculated based on accumulating the cost of food, transportation, health services, rent, utilities, taxes, and miscellaneous.
View Cost of Living PageSan Antonio ( SAN an-TOH-nee-oh; Spanish for "Saint Anthony"), officially the City of San Antonio, is a city in the U.S. state of Texas and the most populous city in Greater San Antonio, the third-largest metropolitan area in Texas and the 24th-largest metropolitan area in the United States at 2.6 million people in 2020. It is the most populous city in and seat of Bexar County. The city is the seventh-most populous in the United States, the second-largest in the Southern United States, and the second...
Sourced from Wikipedia
Job Description
Evaluates and resolves clinical appeals, grievances, and external reviews received from members or providers, including review of pre-service and post-service appeals, utilizing understanding of clinical department operations and claims processing procedures. Communicates and interacts with external partners, including providers, medical groups, Independent Practice Associations, and other external vendors. Reviews medical records related to grievances and appeals, provides monitoring of cases... involving medical decisions and quality or care or service, and prepares and performs clinical reviews. Logs grievances and appeals; obtains medical records as needed; and provides clinical reviews, write-ups, and recommendations. Develops correspondence communicating acknowledgement and resolution to enrollees and providers, following appeal time frames. Requires RN license.
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Disclaimer
This page is a promotion for SalaryExpert’s Assessor Platform and is not intended for professional use.
Professionals should subscribe to SalaryExpert’s Assessor Platform.
ERI’s compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
Most Popular Skills for Medical Grievance and Appeals Nurse
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