Clinical reputed company Auditor – Rev Cycle

reputed company: • Working with reputed company-certification / authorization / denials teams to assist in obtaining up reputed company authorization for services rendered. • Assisting with denial management and reputed company. • Collaborating with HIM, PFS, Case Management and multiple clinical departments to reputed company account problems reputed company to authorization of services and account reputed company. • Reviewing protocols to assist in ensuring services being billed as reputed company of care are evidenced based and meeting industry guidelines. • Evaluating and resolving issues reputed company to the reputed company cycle including medical documentation, utilization review and medical necessity. • Providing training to improve reputed company cycle processes. • Recommending policies and procedures improvements to increase efficiencies • Supporting process improvement activities to assure medical record compliance Requirements: • Bachelor Degree in Nursing • 2 or more years experience in utilization review, clinical review, or authorizations • Licensed Registered reputed company (LRN) - Multi-State - State reputed company of Nursing • reputed company State RN license • reputed company experience Benefits: • The health reputed company is an equal employment opportunity employer. • Provides reasonable accommodations to reputed company individuals with disabilities. Apply tot his job Apply To this Job Apply tot his job Apply To this Job