Registered Nurse - Revenue Cycle Specialist

Greenlife Healthcare Staffing • Jericho, NY

1d • $60 - $60 • Remote

About The Position

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Registered Nurse role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Requirements

• Active NY RN license
• Experience in billing, reimbursement, or utilization review
• Knowledge of payer policies and CMS guidelines
• Strong communication skills
• Ability to interpret policies and coverage criteria
• Analytical thinking

Nice To Haves

• Experience with multispecialty coding and billing

Responsibilities

• Review medical records for medical necessity and coverage
• Support appeals and pre-authorization processes
• Interpret clinical data for revenue cycle teams
• Liaise with payers to resolve disputes
• Ensure documentation supports reimbursement

Benefits

• Comprehensive benefits package

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed