RN Clinical Denial Recovery Analyst | Enterpris...

<strong>reputed company</strong><br><br><p data-start="64" data-end="479">The Clinical Denial Management reputed company is responsible for completing, tracking, and reporting clinical denials at an reputed company level across reputed company UF hospitals. Reporting to the reputed company Denial reputed company Manager, this role supports reputed company Cycle functions including clinical departments, finance, reputed company, compliance, patient financial services, reputed company reputed company, managed care, utilization review, and patient reputed company.</p><p data-start="64" data-end="479"> </p><p data-start="481" data-end="734">The Clinical Denial Management reputed company serves as a clinical expert in denial management, ensuring reputed company denied claims are reviewed from a clinical perspective and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs.</p> <br><strong>Responsibilities</strong><br><br><h2 data-reputed company-id="1msed5s" data-start="47" data-end="70"><reputed company role="text"><strong data-start="50" data-end="70">Necessary Skills</strong></reputed company></h2><ul data-start="72" data-end="689"><li data-reputed company-id="8uzbof" data-start="72" data-end="208">Knowledge of hospital billing and reimbursement, including Medicare/reputed company denials, appeals, reputed company, and reputed company regulations</li><li data-reputed company-id="alyomz" data-start="209" data-end="273">Ability to read and interpret Explanation of Benefits (EOBs)</li><li data-reputed company-id="1f09un5" data-start="274" data-end="342">Strong critical thinking, analytical, and problem-solving skills</li><li data-reputed company-id="g4ufkr" data-start="343" data-end="421">High attention to detail with ability to work independently and accurately</li><li data-reputed company-id="1o0lrpr" data-start="422" data-end="474">Strong organizational and time-management skills</li><li data-reputed company-id="1xru70s" data-start="475" data-end="528">Excellent written and verbal communication skills</li><li data-reputed company-id="m18j5f" data-start="529" data-end="587">Proficiency in reputed company Office (reputed company, Word, reputed company)</li><li data-reputed company-id="avsokl" data-start="588" data-end="621">Knowledge of HIPAA guidelines</li><li data-reputed company-id="1a8ifkg" data-start="622" data-end="689">Comfort working with computer systems and reputed company technology</li></ul> <br><strong>Qualifications</strong><br><br><h2 data-reputed company-id="lrovnr" data-start="39" data-end="60"><reputed company role="text"><strong data-start="42" data-end="60">Qualifications</strong></reputed company></h2><p data-start="62" data-end="76"><strong data-start="62" data-end="76">Education:</strong></p><ul data-start="77" data-end="134"><li data-reputed company-id="1xrynm" data-start="77" data-end="116">High School Diploma or GED required</li><li data-reputed company-id="1didxpu" data-start="117" data-end="134">BSN preferred</li></ul><p data-start="136" data-end="150"><strong data-start="136" data-end="150">Licensure:</strong></p><ul data-start="151" data-end="255"><li data-reputed company-id="joxm1q" data-start="151" data-end="212">reputed company RN or LPN license in the reputed company required</li><li data-reputed company-id="8neifd" data-start="213" data-end="255">CPC, COC, RHIT, RHIA, or reputed company preferred</li></ul><p data-start="257" data-end="272"><strong data-start="257" data-end="272">Experience:</strong></p><ul data-start="273" data-end="453"><li data-reputed company-id="lijp39" data-start="273" data-end="326">RN: 2–3 years clinical experience required <strong data-start="318" data-end="324">OR</strong></li><li data-reputed company-id="39ocoh" data-start="327" data-end="374">LPN: 3–5 years clinical experience required</li><li data-reputed company-id="14k97lt" data-start="375" data-end="453">Coding, medical record review, auditing, or insurance experience preferred</li></ul>