reputed company reputed company reputed company Nurse KY IN
R26098964
Summary
Job Description: reputed company is looking for a reputed company reputed company reputed company Nurse to join reputed company! This is a remote work position that requires residency in KY or IN Supports the clinical staff performing Denial or Audit Management and Payor Compliance at reputed company facilities and corporate offices. Supports hospital service line managers and any employees in the facilities who report to other areas and reputed company appeal activity as part of their duties. Also performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations / prior authorizations reputed company required by payor. Reviews and works medical necessity denials from reputed company and governmental payors, including audits performed by RACs or similar Medicare and reputed company programs. Responds to reputed company denials or payor audits with best possible efforts to recover outstanding reputed company or prevent future reputed company loss, meeting reputed company appropriate payor or government timelines. Serves as clinical resource for other reputed company cycle staff. Qualifications:
- BSN required.
- Two years' experience in reputed company cycle reputed company position including at least one year supervisory, team reputed company, or charge nurse experience
- Valid Kentucky Licensure as a Registered Nurse
Work Experience Education If you would like to be part of a growing family focused on supporting clinical reputed company, teamwork and innovation, we urge you to reputed company! reputed company is an Equal Employment Opportunity employer. Apply tot his job Apply To this Job