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Clinical Denials Nurse

Job ID: 4662893
Updated: August 2, 2018
Geographic Location: 
Department: Denials Underpayments
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 40
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Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Clinical Denials Nurse performs all denials activities across Ensemble Health Partners. Job duties include, but are not limited to, contacting insurance companies to determine reasons claims are unpaid, correcting and resubmitting claims in a timely manner to ensure payment, identifying trends in denied payments by insurance companies to remediate issues, and identifying changes with insurance company policies to ensure compliant billing.

Qualifications - Minimum

 

  • Active RN or LPN license in the state of Ohio required
  • 2+ Years of experience in a direct patient care setting or similar position
  • Case Management or Utilization Review experience strongly preferred
  • Understanding of Revenue Cycle including admission, billing, payments and denials preferred
  • Knowledge of patient insurance process and requirements preferred

Hours

Full-time, 40 hours per week, 8:00 a.m. to 4:30 p.m.

Must possess a current Ohio State Nursing License.

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

About Us

 

This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health. Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results. Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

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