RN-CMH HOS Utilization Specialist

4 weeks ago


Bolivar, Missouri, United States Citizens Memorial Full time
Citizens Memorial Hospital Career Opportunity

Citizens Memorial Hospital is seeking a skilled professional to fill the role of RN-CMH HOS Utilization Specialist. This position requires a clinical background as an RN or LPN, or a certified coder with a minimum of 3 years experience in surgical coding.

Key Responsibilities:
  • Ensure payers are prepared to reimburse CMH for scheduled services in accordance with the payer-provider contract.
  • Contract with payers to secure authorization and work with the Specialty clinic team to ensure surgical schedules are filled and patients are scheduled timely with all authorizations in place for coverage of the surgery.
Requirements:
  • Education: Associates degree or Bachelors degree or surgical coding certification
  • Skills: UR experience or 3 years of medical coding experience
  • License: LPN, LVN, RN
Benefits:
  • Flexible compensation package which can include: competitive salary, student loan assistance, annual merit increases, full suite of insurance benefits available for employee and family, early access to pay with on-demand PayActiv Program, employee assistance program, paid time off, increased company matched retirement, company paid long term disability plan, employee discounts

Please contact Reagan Payne at 417-328-6193 or email Reagan.payne@citizensmemorial.com for more information.



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