RN Denials Specialist (Remote)

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RN Denials Specialist (Remote)

Job Overview

RN Denials Specialist (Remote)

Overview:

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A Norwood Partner, based in Houston, TX is seeking a Remote Denials Specialist to assist with a growing number of company-wide backlogged denials. 

The Denials Specialist (remote) will review and rework of all types of denials accessing Meditech software.

Responsibilities

  • Reviews and completes continuous daily work queue volume of denials.
  • Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs)
  • Analyzes work queues and other system report and identifies denial/non-payment trends
  • Maintains open communication with third party payor representatives to resolve claim issues.
  • Identifies, reviews, and interprets third party denials
  • Initiates corrected claims and appeals according to payer guidelines.
  • Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines.
  • Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written.
  • Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor.
  • Meets productivity standards or consistently exceeds productivity standards.

Job Qualifications

  • RN preferred
  • Must have a clear and active Texas or compact license.
  • Good writing and analytical skills are a must.
  • Experience writing denials for hospitals in sub-acute or short-term care settings
  • 2 years of Care Management and/or Utilization Management Experience
  • 3years clinical experience
  • Knowledge of third-party healthcare insurance plans, denials, and appeal procedures Basic computer skills.
  • Familiarity with hospital applications and basic Microsoft Office and Windows applications.
  • Excellent communication skills required.
  • Good knowledge of automated billing systems.

 

****This job will be 100% remote.  All candidates must have a dedicated workspace with a lock on the door to comply with HIPAA standards

  • All candidates must be able to provide their own hardware, (Laptop or desktop). 
  • Software access will be provided before or during orientation.

Remote RN Denials Specialist
Maximum pay rate: $65 an hour
Bill Rate: $105 (finalizing approval)

A Norwood Partner, based in Houston, TX is seeking a Remote Denials Specialist to assist with a growing number of company-wide backlogged denials. 

The Denials Specialist (remote) will review and rework of all types of denials accessing Meditech software.

Responsibilities

  • Reviews and completes continuous daily work queue volume of denials.
  • Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs)
  • Analyzes work queues and other system report and identifies denial/non-payment trends
  • Maintains open communication with third party payor representatives to resolve claim issues.
  • Identifies, reviews, and interprets third party denials
  • Initiates corrected claims and appeals according to payer guidelines.
  • Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines.
  • Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written.
  • Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor.
  • Meets productivity standards or consistently exceeds productivity standards.

Job Qualifications

  • RN preferred
  • Must have a clear and active Texas or compact license.
  • Good writing and analytical skills are a must.
  • Experience writing denials for hospitals in sub-acute or short-term care settings
  • 2 years of Care Management and/or Utilization Management Experience
  • 3years clinical experience
  • Knowledge of third-party healthcare insurance plans, denials, and appeal procedures Basic computer skills.
  • Familiarity with hospital applications and basic Microsoft Office and Windows applications.
  • Excellent communication skills required.
  • Good knowledge of automated billing systems.

 

****This job will be 100% remote.  All candidates must have a dedicated workspace with a lock on the door to comply with HIPAA standards

  • All candidates must be able to provide their own hardware, (Laptop or desktop). 
  • Software access will be provided before or during orientation.

Apply Now