Registered Nurse Clinical Denial Appeals, Patient Financial Services, Full-time, Days, Albuquerque, NM.
We are looking for a Registered Nurse Clinical Denial Appeals, to join our Patient Financial Services, in Albuquerque, NM.
This full-time job is located at Lovelace Shared Services:Organizational support departments for all Lovelace facilities including Coding, Finance, Health Information Management, Revenue Cycle, Marketing, and the Resource Team. We are dedicated to exceeding our customers' expectations in every way.
Registered Nurse Clinical Denial Appeals Job Responsibilities:
This position is to assess and utilize clinical and financial information.
In partnership with patients, physicians, and other health care providers,
This position will support utilization of resources and obtain optimal reimbursement to assure maximum appropriate reimbursement for the Organization.
Position identifies trends and disseminates as necessary for appropriate action.
Must be able to work flexible hours.
All work processed by the incumbent is confidential.
Completes established competencies for the position within designated introductory period.
Other related duties as assigned.
Registered Nurse Clinical Denial Appeals Education and Experience Job Requirements:
Minimum: Associate’s Degree or Diploma of Nursing
Desired: Bachelor’s Degree in Nursing
5 years clinical nursing experience and two years managed care experience.
Knowledge of the operations of patient billing; the UB -04, the Itemized Statement, coding information reported on claim and grievance procedures.
Demonstrated knowledge of the State Medicaid structure and other insurance
plans (i.e., commercial, Medicare, HMO/PPOs, etc.)
Valid NM Nursing license or NM compact license (within 90 days of hire)
BLS; HIRING DEPARTMENT MAY ALSO REQUIRE ACLS and or PALS.
Named one of the 150 Great Places to Workin Healthcare by Becker's Hospital Review
Named one of the Best Places to Work by Albuquerque Business First
Named Top Workplace by Albuquerque Journal ,2013, 2014, and 2015
Named to Modern Healthcare's 100 Best Places to Workfive times since2008
Lovelace is a drug-free employer with smoke free campuses.