JOB SUMMARYThe Denial Resource Center Registered Nurse (RN) is accountable for Baylor Scott & White Health denial management functions. The Denial Resource Center (DRC) is accountable for receiving claim denials and appealing to payors to promote appropriate reimbursement from payors to BSWH hospitals. The DRC RN manages denials from all payors, including denials for lack of medical necessity, pre-cert, re-cert, billing, coding, and patient status.ESSENTIAL FUNCTIONS OF THE ROLEReceives clinically denied claims from the BSWH Central Business Office, or directly from the payor, and appe