Clinical Denial Analyst

3 weeks ago

Evansville, United States Deaconess Health System Full time

Join our Team# We are looking for a compassionate, caring and dedicated Clinical Denial Analyst to join our team and help us continue our tradition of excellence.# Benefits We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer: Flexible work schedules # Full time/part time/supplemental # Day/Eve/Night Onsite children#s care centers (Infant through Pre-K) Tuition reimbursement Payactiv- earned wage benefit- work today get paid tomorrow Career advancement opportunities Competitive pay, shift and weekend incentives, yearly opportunities for pay increases and bonuses Telecommuting;#This job allows part-time telecommuting/remote work, but will be required to be onsite for training and periodically for meetings. Must be able to travel to Evansville, IN. As a Clinical Denial Analyst, you will play a critical role in continuing the healing mission of Deaconess. Job Overview This position is responsible for working assigned denials (such as no authorization, medical necessity, and readmission) from assigned workqueues 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. Education and Experience;#Bachelor#s Degree in Nursing. Three to five years of clinical experience as a Registered Nurse, including at least two years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital. Certificates, Licenses, Registrations; BSN, current applicable licensure required.Join our Team

We are looking for a compassionate, caring and dedicated Clinical Denial Analyst to join our team and help us continue our tradition of excellence.

Benefits

We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer:

* Flexible work schedules - Full time/part time/supplemental - Day/Eve/Night
* Onsite children's care centers (Infant through Pre-K)
* Tuition reimbursement
* Payactiv- earned wage benefit- work today get paid tomorrow
* Career advancement opportunities
* Competitive pay, shift and weekend incentives, yearly opportunities for pay increases and bonuses

Telecommuting; This job allows part-time telecommuting/remote work, but will be required to be onsite for training and periodically for meetings. Must be able to travel to Evansville, IN.

As a Clinical Denial Analyst, you will play a critical role in continuing the healing mission of Deaconess.

Job Overview

This position is responsible for working assigned denials (such as no authorization, medical necessity, and readmission) from assigned workqueues 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.

Education and Experience; Bachelor's Degree in Nursing. Three to five years of clinical experience as a Registered Nurse, including at least two years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital.

Certificates, Licenses, Registrations; BSN, current applicable licensure required.

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