Offer summary
Qualifications:
Bachelor's degree in Nursing, Registered Nurse (RN) licensure, Knowledge of third-party insurance plans, Experience with denials and appeals procedures, Understands CMS and regulatory requirements.
Key responsabilities:
- Oversee training, evaluation, and staffing for Revenue Recovery.
- Conduct quality audits and process improvement initiatives.
- Maintain relationships with internal and external customers.
- Monitor timely appeals and respond to denial inquiries.
- Perform human resources tasks including coaching and reviews.