Accounts Receivable, Accounts Receivable Management, Acute Care, Analysis Skills, Auditing, Case Management, Clinical Assessment, Clinical Medicine, Healthcare, Legal, Organizational Skills, Patient Care Authorizations, Patient Care Denials, Registered Nurse (RN), Trend Analysis, Utilization Management
LOCATION
Evansville, Indiana
POSTED
11 days ago
Job Overview:
This position is responsible for working assigned denials (such as no authorization, medical necessity, and readmission) from assigned work queues according to policy and established productivity standard. This position will work with third party payors to obtain payment on accounts according to legal and proper collection techniques as well as maintain accounts receivable goals developed by the department. The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial Analysis Team to make appropriate changes to prevent future denials.
Required: Certifications/Licenses/Experience:
Active Registered Nurse (RN) in Indiana or other compact licensure state
Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital
Preferred Certification/License/Experience:
BSN
Three (3) to five (5) years of clinical experience as a Registered Nurse in an acute care or specialty hospital
Other Key Words: Registered Nurse // HRS // Healthcare Resources // UM // Utilization Management // Case Management