Registered Nurse - Payment Auditor - Saint Paul

Company : On Time Talent Solutions

Job Type : Full Time

St Paul, United States

Job Description - Registered Nurse - Payment Auditor - Saint Paul

Registered Nurse - Payment Auditor

Saint Paul, Minnesota

St. Paul is the second city that forms Minnesotaâs Twin Cities. As a large business hub in the upper Midwest, the St. Paul area is home to headquarters of many healthcare giants including Mayo Clinic, Ecolab, Allina and Essentia Health. Whether you are looking to relocate or are a current resident, job opportunities in St. Paul are abundant

On Time Talent Solutions is seeking a Registered Nurse with payment auditing experience who is passionate and lines up with their mission and values. If you are excited about the growing fields of Analytics and who would like to join an amazing team!

Registered Nurse - Payment Auditor Responsibilities:

Conducts reviews and responding to insurance denials

Writes concise, factual letters and provides medical record documentation to support appeal

Effectively communicates verbally with external and internal customers to ensure argument for appeal is clearly presented

Prioritizes and organizes own work to meet appeals and grievance deadlines

Responsible for the denials process, including subsequent appeal to health insurance

Reviews for completeness of documentation based on charges

Reviews charges for completeness and accuracy based on documentation

Determines if charges supported by documentation have been missed

Demonstrates awareness of departmental charging procedures and serves as a liaison between department managers and Patient Financial Services.

Demonstrates awareness of payer specific reimbursement methodologies and payer specific policies and procedures regarding charging, coding, billing, claim processing, and dispute resolution to assist patients and employees.

Assists and educates patient representatives regarding pricing questions and item descriptions as needed to increase efficiency

Performs patient inquiry audits as requested

Provides audit results and written explanation of line items (if needed) to the patient representative or supervisor

Registered Nurse - Payment Auditor Qualifications:

Associate's Degree Graduate from an accredited NLN/CCNE institution required

2 years RN experience required

Nursing\RN - Registered Nurse - State Licensure and/or Compact State Licensure required

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Registered Nurse - Payment Auditor - Saint Paul

Job Description - Registered Nurse - Payment Auditor - Saint Paul

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