Clinical Denial Analyst (RN)

Deaconess Health System • Evansville, IN

20h • Onsite

About The Position

This position is responsible for working assigned denials (such as no authorization, medical necessity, and readmission) from assigned work queues according to policy and established productivity standard. This position will work with third party payors to obtain payment on accounts according to legal and proper collection techniques as well as maintain accounts receivable goals developed by the department. The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial Analysis Team to make appropriate changes to prevent future denials.

Requirements

• Active Registered Nurse (RN) in Indiana or other compact licensure state
• Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital

Nice To Haves

• BSN
• Three (3) to five (5) years of clinical experience as a Registered Nurse in an acute care or specialty hospital

Responsibilities

• Work assigned denials (such as no authorization, medical necessity, and readmission) from assigned work queues according to policy and established productivity standard.
• Work with third party payors to obtain payment on accounts according to legal and proper collection techniques.
• Maintain accounts receivable goals developed by the department.
• Prepare appeals and reports of denial activity.
• Identify trends for the Denial Analysis Team to make appropriate changes to prevent future denials.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level