Careers

Denials Resolution Specialist in Munster, IN at Community Healthcare System

Date Posted: 8/19/2019

Job Snapshot

  • Employee Type:
    Full-time · Days · 8a-4:30p M-F, no weekends or holidays· 80
  • Location:
    Munster, IN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/19/2019
  • Job ID:
    25970

Job Description

Job ID: 25970

Category:   Nursing Services

Facility:   Community Hospital • Case Management

Schedule:   Full-time • Days • 8a-4:30p M-F, no weekends or holidays • 80

Location: Munster, IN

  • Associates Degree Required

  • RN Required


  •  Denials Resolution Specialist
    Registered Nurse
     

    POSITION PURPOSE AND SUMMARY:
                 
    Under the direction of the Director of Utilization/Case Management/Social Service, the Denials Resolution Specialist reviews, appeals, advises, and collaborates with the medical staff in the resolution of treatment and services denied by Medicare, Medicaid, Tricare, commercial payers, and Managed Care organizations throughout the Community Healthcare System.
     
     
    EDUCATION/EXPERIENCE
     
    Registered Nurse with a Bachelor's degree in nursing preferred. Relevant professional certification (certified coder, etc.) highly desirable.   Three years minimum of successful experience in provider reimbursement. Two years recent experience in and acute care hospital setting.
    Internal Posting:  7/19/19 - 7/25/19

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