Specialist-Denial I - Jackson, MS

US-TN-MEMPHIS
2 months ago(10/9/2017 8:36 AM)
Position Code
50020051
Day Shift
Yes
Night Shift
No
Rotating Shift
No
Evenings
No
Status
Regular Full-Time
Department
HS Denial Mitigation

Overview and Responsibilities

Qualifications

DescriptionMinimum RequiredPreferred / Desired
Experience  
One or more of the following: - 5 years experience in healthcare (physician, or clinical/hospital setting). - 5 years payer environment performing activities such as auditing, patient billing, and/or denial management. - RN with 2 years clinical experience and 1 year Case Management experience2-5 years clinical experience in a clinical care setting.Five years clinical experience and at least one year case management or 5 years payer experience.
Education  
RN, LPN or RHIT preferredAbility to type and/or key accurately and have strong organizational skills. 
Training  
Experienced in working in an outpatient or clinical setting. Familiarity with electronic medical records and claims/practice management systems.Requires critical thinking and judgement and must demostrates the ability to appropriately use standard criteria established by payers. 
Special Skills  
Excellent interpersonal, communication, and writing skills. Advanced computer literacy skills. Strong analytical and problem solving skills with an ability to understand and troubleshoot interconnected data and denial processes.Excellent communication skills. Advanced computer literacy skills with the ability to type and key accurately. 
Licensure  
Rn, LPN or RHIT LPN , RHIT , RN

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