Denials Management and Prevention RN
CarolinaEast•New Bern, NC
•Onsite
About The Position
Primarily responsible for providing support to the Denials Management and Prevention Department in medical record review and/or denial review.
Requirements
- Minimum of an Associate's degree in nursing.
- Minimum five years hospital clinical experience.
- Must possess strong clinical knowledge of patient care techniques, treatment modalities, and disease processes.
- Knowledge of utilization review, denial concepts and reimbursement methodologies.
- Ability to communicate effectively with interdisciplinary team (Physicians, Nursing, Denials Management and Prevention Manager, Care Coordinators, Billing and Finance).
- Proficient in Microsoft Word, Excel, and selected denials tracking software.
- Current RN license with North Carolina State Board of Nursing or Compact License recognized by the NC State Board of Nursing.
- Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.
Nice To Haves
- Prefer a Bachelor of Science in Nursing.
Responsibilities
- Provide support to the Denials Management and Prevention Department in medical record review and/or denial review.
Benefits
- Robust benefits package to all full-time employees
- Benefits for part-time plus and part-time staff
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
