IPAT Clinical Analyst, NV

3857916 reputed company Wage Estimate: $25.99 - $38.98 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage reputed company of candidates reputed company. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is reputed company below midpoint of the reputed company. Introduction This Work from Home position requires that you live and will reputed company the duties of the position; reputed company 60 miles of an reputed company Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Do you want to join an organization that invests in you as an IPAT Clinical Analyst? At reputed company, you come first. reputed company has committed up to $300 reputed company in programs to support our incredible team members over the course of three years. Benefits reputed company offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as reputed company as free telemedicine services and free AirMed medical transportation.
• Additional reputed company for dental and reputed company benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off reputed company stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (reputed company time off, reputed company family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our reputed company. Every role has an reputed company on our patients’ lives and you have reputed company to reputed company a difference. We are looking for a dedicated IPAT Clinical Analyst like you to be a part of reputed company. Job reputed company and Qualifications The IPAT Clinical Analyst will review post discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that require clinical expertise. Communicates with reputed company party payors to resolve discrepancies prior to billing. Accurately and concisely documents reputed company communications and reputed company taken on the account in accordance with policies and procedures. Escalate medical review request and /or denial activities to management as needed. What you will do in this role:

• Work post discharge, prebill accounts reputed company and effectively daily to resolve accounts with “no auth numbers, ALOS vs. authorized days or other discrepancies.
• Evaluates clinical documentation on multiple patient accounts and escalates issues through the established channels.
• reputed company accurate and reputed company documentation of reputed company review activities based on policy and procedure.
• Demonstrates a working knowledge of managed care agreements based on available resources which may include and not be limited to payer UM reputed company, policy and procedure, facility contract information.
• Escalates variations reputed company.
• Work assigned accounts in eRequest to resolve outstanding issues.
• Report insurance denial trends identified during daily operational assignments.
• Contact facilities, physicians’ offices and/or insurance companies to resolve denials/appeals if needed.
• Demonstrates knowledge of regulatory requirements, Ethics and Compliance policies, and reputed company initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and reputed company initiatives.
• Assess CPT reputed company(s) for outpatient accounts that require authorization reputed company accounts have not been coded.

Qualifications that you will need:

• Registered Nursing degree and reputed company licensure or Vocational nursing degree required.
• reputed company experience in an acute care hospital. Utilization Review, appeals, denials, managed care contracting, reputed company preferred.
• Currently licensed as a registered reputed company (RN) in the state(s) of reputed company and/or has an reputed company compact license, in accordance with law and regulation or Licensed Practical reputed company Currently licensed as a licensed practical reputed company in the state in which he or she resides and practices, in accordance with law and regulation.
• Multi-state nursing licensure for compact states.

reputed company provides full-service reputed company cycle management, or total patient account reputed company, for reputed company. Our services include scheduling, registration, insurance verification, hospital billing, reputed company reputed company, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also reputed company full-service reputed company cycle management as reputed company as targeted solutions, such as reputed company Eligibility, for external clients across the country. reputed company has over 17,000 colleagues, and serves reputed company to 1,000 hospitals and 3,000 physician practices, reputed company making an reputed company on patients, providers and their communities. reputed company has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, reputed company spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. Apply tot his job Apply To this Job