UR/TOC & Denials RN
Norman Regional Health System•Norman, OK
•Onsite
About The Position
Responsible for compiling an appropriate appeal response to commercial and/or government payer regarding denial and/or audit, including follow up of appeals throughout process for resolution and reporting. Responsible for review of concurrent denial/reimbursement from commercial and/or government payers for inpatient and outpatient.
Requirements
- Associate degree of Nursing (A.D.N.) required
- Minimum of three years of experience in acute care patient setting
- Current OK RN license required
- Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment
Nice To Haves
- Bachelor of Science in Nursing (BSN) or Masters of Science in Nursing (MSN) preferred
- Minimum of one year experience in Clinical Documentation or Appeal/Denial Management experience preferred
- Utilization Review or Case Management experience preferred
Responsibilities
- Compiling an appropriate appeal response to commercial and/or government payer regarding denial and/or audit
- Follow up of appeals throughout process for resolution and reporting
- Review of concurrent denial/reimbursement from commercial and/or government payers for inpatient and outpatient
Benefits
- medical
- dental
- vision
- short-term disability
- long-term disability
- life insurance
- paid time off (PTO)
- paid holidays
- tuition reimbursement
- scholarship opportunities
- retirement plans
- free parking
- opportunities for advancement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
