Job Description

Do you like:

• Working in a great environment where you get to collaborate with other nurses, utilize your experience and knowledge without being bedside?
• Being able to work a set schedule – Mon – Fri 8am-5pm, with no evenings/weekends – and leave work at work?
• Having the opportunity once training is complete to have some flexible scheduling including work at home?
• Working for a place that all suggestions are heard, and utilized where it makes sense?
• Having clear expectations and open communication with the team and leadership?
• Having an overall impact on containing healthcare costs while doing rewarding work?

Job Title: Hospital Billing Review Nurse Clinician (RN)

Reports To: Assistant VP of Nursing

Location: Lakewood, CO

The Hospital Billing Review Nurse Clinician (RN) is responsible for reviewing and analyzing hospital facility bills and medical records. The clinical reviewer is responsible for documenting, researching and identifying exceptions for payment as part of a team that prepares Prescreen and Forensic Reviews for specific clients. Employees in this position possess a comprehensive understanding of the claim review process including medical record review, clinical claim review and a broad knowledge of applicable processes, procedures, billing guidelines and Microsoft Excel.

What is needed:

• Active, unrestricted nursing license in the state in which the consultant resides and 3+ years of clinical practice experience in the company-required specialty areas, BSN preferred
• Auditing and coding certifications preferred
• Attention to detail combined with analytical skils – enjoys the investigation!
• Proficient use of Microsoft Word and Excel
• Ability to be a team player
• Ability to handle production and deadlines
• Someone who brings a positive outlook and attitude towards change

COMPENSATION

A competitive salary is offered depending on experience and healthcare/insurance industry experience. Excellent benefits plan details will be provided to final candidates.

COMPANY OVERVIEW

Equian is a healthcare information services company focused on lowering the cost of care by eliminating waste. One of our nation’s most pressing challenges is the rising cost and affordability of healthcare. At Equian, all of our efforts are dedicated to addressing this challenge. Equian has grown to become one of the nation’s leading companies for healthcare reimbursement analysis and payment integrity. We have been voted one of 40 “Healthcare’s Hottest” by Modern Healthcare and have been recognized by Inc. 5000 as one of the fastest growing companies in the United States.

How to Apply

One Click Apply! http://www.linkedrn.com/jobs/522862-hospital-billing-review-clinician-at-equian

Job Categories: Healthcare. Job Types: Full-Time. Job Tags: Hospital Billing Review Clinician. Salaries: 80,000 - 100,000.

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