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Administration and General Support
Advanced Practice Providers
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Breadcrumb
Denials Management Registered Nurse (RN)
Job Ref
2602608
Apply Today!
Category
Professional & Business Support
Job Family
Information Technology
Department
Clinical Denials
Schedule
Full-time
Facility
Community Hospital North
7150 Clearvista Drive
Indianapolis, IN 46256
United States
Shift
Day Job
Hours
8 a.m. to 5 p.m. with the opportunity to flex 4 hours per week.
Join Community
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldnt do it without you.
Make a Difference
The primary role of the Denial Management Registered Nurse is to research, analyze, document and appeal third party payer denials involving medical necessity or clinical issues. The Denial Management RN will work from home after orientation completion, and is required to maintain productivity requirements set by leadership.
Exceptional skills and qualifications
5 years of clinical experience required.
1-3 years Case management preferred.
1-3 years experience with Third party payer (Medicare) preferred.
Previous Denials experience highly preferred.
Knowledge of Epic operating system preferred.
A working knowledge of the following: Utilization Management and Review, Clinical and Patient Financial Documentation Systems, Level of Care review, criteria Payer Appeals guidelines, Regulatory guidelines, Transitional Care (Required).
License and Education
Why Community?
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
Apply Today!
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Community Health Network was created more than 60 years ago by our neighbors, for our neighbors. We've never forgotten that heritage. To this day, we're still locally based and locally controlled, and we're as closely tied to our communities as ever.
As a non-profit health system with more than 200 sites of care and affiliates throughout Central Indiana, Community’s full continuum of care integrates hundreds of physicians, specialty and acute care hospitals, surgery centers, home care services, MedChecks, behavioral health and employer health services.