Healthcare Revenue Integrity Specialist
4 days ago
We are seeking a highly skilled Registered Nurse to join our revenue integrity team as a Hospital Bill Auditor. This is a full-time permanent opportunity that offers growth opportunities and a chance to work with a managed care company.
Key Responsibilities:
- Conduct audits of hospital bills to ensure accuracy and compliance with department guidelines and partner parameters.
- Collaborate with the revenue integrity team to identify and resolve billing discrepancies.
- Develop and maintain knowledge of clinical and billing regulations.
- Provide support to the revenue cycle team to ensure timely and accurate billing.
Requirements:
- Current RN licensure.
- Minimum 2 years of clinical experience in ICU, ER, or OR.
- Experience with appeals, both writing and auditing.
- Charge capture experience, including review of services rendered based on medical records.
- Understanding of laboratory procedures preferred.
- Proficiency with computers and software applications.
Benefits:
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- Collaborative and dynamic work environment.
- Recognition and rewards for outstanding performance.
About Us:
Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. We are committed to providing exceptional service and support to our clients and candidates.
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