RN - Revenue Cycle Clinical Reviewer
14 hours ago
In collaboration with the Revenue Cycle departments and IT, is responsible for the identification, mitigation, and prevention of clinical denials as well as chart to charge auditing. Assists in obtaining prior authorizations where clinical information is required or additional procedures may need authorized. Reviews clinical denials to determine next steps and conducts appeals as appropriate, as well as works to prevent future denials by communicating with clinical and revenue cycle leadership about denial root causes and by developing and implementing staff education and process changes.
- Registered nurse with at least 5 years of hospital patient care experience
- Strong computer skills, including knowledge of billing software functionality and PC-based productivity tools (e.g. spreadsheets, word processing, email).
- Ability to research, analyze and problem solve.
- Excellent organization and time management skills, and the ability to effectively establish priorities required.
- Must project a mature, compassionate, customer-focused attitude and professional demeanor.
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Clinical Reviewer
2 weeks ago
Crestline, Ohio, United States Avita Health System Full timeAs a key member of the Revenue Cycle team at Avita Health System, the Clinical Reviewer - Revenue Cycle RN plays a vital role in ensuring the accuracy and efficiency of clinical denials and chart-to-charge auditing processes. This position requires a registered nurse with at least 5 years of hospital patient care experience, strong computer skills, and...
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Clinical Reviewer
3 weeks ago
Crestline, Ohio, United States Avita Health System Full timeIn collaboration with the Revenue Cycle departments and IT, the successful candidate will be responsible for identifying, mitigating, and preventing clinical denials, as well as conducting chart-to-charge audits.They will assist in obtaining prior authorizations where clinical information is required or additional procedures may need to be authorized.The...
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Staff Pharmacist
3 weeks ago
Crestline, Ohio, United States Avita Health System Full timeJob SummaryThe Outpatient Staff Pharmacist plays a vital role in ensuring the highest quality of patient care by reviewing and verifying prescriptions, conducting clinical reviews, and providing patient counseling. This position also involves administering vaccinations and serving as a drug information resource to patients, medical staff, and ancillary...
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Staff Pharmacist
1 month ago
Crestline, United States Avita Health System Full timeThe Outpatient Staff Pharmacist reviews and verifies prescriptions, conducts clinical reviews, completes patient counseling, administers vaccinations, and serves as a drug information resource to patients, medical staff, nursing staff and ancillary department personnel. Compounds and dispenses prescribed medications and other pharmaceuticals. Supervises and...
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Staff Pharmacist
1 month ago
Crestline, United States Avita Health System Full timeThe Outpatient Staff Pharmacist reviews and verifies prescriptions, conducts clinical reviews, completes patient counseling, administers vaccinations, and serves as a drug information resource to patients, medical staff, nursing staff and ancillary department personnel. Compounds and dispenses prescribed medications and other pharmaceuticals. Supervises and...
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Pharmacist Career Opportunities
2 weeks ago
Crestline, California, United States Avita Health System Full timeAvita Health System seeks a dedicated and compassionate Staff Pharmacist to join our team. As a key member of our healthcare organization, this pharmacist will be responsible for reviewing and verifying prescriptions, conducting clinical reviews, and providing patient counseling. They will also administer vaccinations and serve as a drug information resource...
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Nurse Practitioner NP, Part-Time, HRA
3 months ago
Crestline, United States Hueman Risk Adjustment Solutions Full timeDescription Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Crestline, OH. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in...
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Nurse Practitioner- PRN/Part Time
1 month ago
Crestline, United States Matrix Medical Network Full timeJob DescriptionJob DescriptionOverviewNurse Practitioner – PRN/Part TimeHome Risk AssessmentsAbout Us:Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health plan members we visit with every day the tools and knowledge to better manage their health at home. With deep...
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Care Manager RN
4 weeks ago
Crestline, United States Providence Full timeDescription Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination. Providence...
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Nurse Practitioner
1 month ago
Crestline, Ohio, United States Matrix Medical Network Full timeAbout the RoleWe are seeking a skilled Nurse Practitioner to join our team in providing high-quality care to our patients in the comfort of their own homes. As a PRN/Part Time Nurse Practitioner, you will conduct comprehensive health assessments, develop care plans, and provide education to patients and their families.ResponsibilitiesConduct home visits to...
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Nurse Practitioner
3 weeks ago
Crestline, Ohio, United States Matrix Medical Network Full timeJob DescriptionMatrix Medical Network is seeking a skilled Nurse Practitioner to join our team as a Home Risk Assessment Specialist. In this role, you will conduct comprehensive health assessments in the comfort of patients' homes, identifying potential health risks and developing personalized care plans to improve health outcomes.Key...
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Care Manager RN
4 weeks ago
Crestline, CA, United States Providence Full timeDescription Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination. ...