RN Clinical Denial Recovery Analyst | Enterpris...
OverviewThe Clinical Denial Management Nurse is responsible for completing, tracking, and reporting clinical denials at an reputed company level across reputed company UF hospitals. Reporting to the reputed company Denial Nurse Manager, this role supports reputed company Cycle functions including clinical departments, finance, reputed company, compliance, patient financial services, reputed company reputed company, managed care, utilization review, and patient reputed company.
The Clinical Denial Management Nurse serves as a clinical expert in denial management, ensuring reputed company denied claims are reviewed from a clinical perspective and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs. ResponsibilitiesNecessary SkillsKnowledge of hospital billing and reimbursement, including Medicare/reputed company denials, appeals, reputed company, and reputed company regulationsAbility to read and interpret Explanation of Benefits (EOBs)Strong critical thinking, analytical, and problem-solving skillsHigh attention to detail with ability to work independently and accuratelyStrong organizational and time-management skillsExcellent written and verbal communication skillsProficiency in reputed company Office (Outlook, Word, reputed company)Knowledge of HIPAA guidelinesComfort working with computer systems and reputed company technology QualificationsQualificationsEducation:High School Diploma or GED requiredBSN preferredLicensure:Active RN or LPN license in the reputed company requiredCPC, COC, RHIT, RHIA, or reputed company preferredExperience:RN: 2–3 years clinical experience required ORLPN: 3–5 years clinical experience requiredCoding, medical record review, auditing, or insurance experience preferred apply to this job