Denials Management RN Specialist Remote
Apply NowLocation:
Altamonte Springs, FL, US
Company:
AdventHealth Corporate provides comprehensive healthcare services and is committed to holistic patient care.
Summary:
The Denials Management RN Specialist investigates and appeals clinical service denials while ensuring compliance with regulations. Applicants need a Bachelor's degree and experience as a Registered Nurse.
Requirements:
Technology: Microsoft Suite, Microsoft Teams
Hard Skills: CPT understanding, HCPCS understanding, ICD knowledge, charge capture knowledge, revenue integrity knowledge
Credentials: Bachelor's
Experience: 1+ Related Experience
Job Description:
Job Description
AdventHealth Corporate
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person...
Shift: Monday-Friday
Job Location: Remote
The role you will contribute:
This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system...
The value you will bring to the team:
- Reviewing and appealing denials for all clinical services across the AH system
- Researching various sources of information to determine appropriateness of appeal...
Qualifications
The expertise and experiences you’ll need to succeed:
· Bachelor's
· 1+ Related Experience
· Registered Nurse (RN)
· Extensive understanding of CPT, HCPCS, ICD, UB-04 Revenue Codes, modifiers...
· Ability and willingness to continuously learn new concepts and skills required to navigate...
