Job: Denials Management

This posting has expired and is no longer available.

Job Description


Location: St. Dominic Hospital
Department: CARE MANAGEMENT - 9740
Employment Type: Full Time 80
Shift: Day
Other Shift Details:
Job Code: 1320

The Case Manager for Denials Management is responsible for revenue cycle activities in the Care Management department to ensure appropriate billing and reimbursement is received which includes working denials and appeals to maximize reimbursement for hospital services.

 

Requirements:

RN with a Bachelor’s Degree or Associates Degree in Nursing

Minimum of 2 years experience in Case Management

LPN with 5 years or greater in experience with Utilization Management and/or Denials Management is acceptable

Experience in utilization review functions including obtaining authorizations and navigating payor rules required

Denials management experience required

Experience in a payor environment highly preferred