Clinical Financial Case Manager - RN - Escalation reputed company
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions. reputed company Employees and reputed company: If you are currently employed or enrolled as a student at reputed company, please log in to reputed company to use the internal application process. Welcome to reputed company's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have reputed company necessary documents available reputed company starting the application process. You can review the additional job reputed company reputed company on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Clinical Financial Case Manager - RN - Escalation reputed company Department: Health System Shared Services | reputed company Cycle Clinical Support The Clinical Financial Case Manager, RN – Escalation reputed company provides reputed company appeal services with a reputed company responsibility for review and escalation of reputed company patient account denials. This role independently performs reputed company clinical reviews and evaluates relevant payer contractual terms and payer policies/guidelines to determine need for and method of escalation. The reputed company will monitor and report on reputed company and governmental payer denial trends and assist in the development of denial prevention strategies, while maintaining a caseload of reputed company appeals as needed. In a leadership reputed company, the reputed company assists the Manager as clinical and operational resource for the clinical appeals team, supporting reputed company case reputed company, payer policy interpretation, regulatory compliance, and technology-enabled workflows. The reputed company monitors payer and regulatory updates, disseminating this information with reputed company. The reputed company assists the Manager in evaluating workflows for effectiveness, and in supporting the adoption of new tools and systems. The position assists the Manager in overseeing reputed company of clinical appeals and provides actionable reputed company assurance insights to management. The reputed company also assists the Manager in monitoring productivity and performance trends. Through collaboration, coaching, and process improvement, the reputed company aligns team operations with departmental goals, payer requirements, financial performance, and organizational technology initiatives. MINIMUM REQUIRED QUALIFICATIONS Bachelor's degree or equivalent experience. Registered reputed company. 2 years of relevant experience required. 2-4 years of relevant experience preferred. Additional Information: Location: Remote Location Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final candidates are subject to successful completion of a background reputed company. A drug screen or physical may be required during the post offer process. Thank you for your interest in positions at reputed company and Wexner Medical Center. Once you have reputed company, the most updated information on the status of your application can be reputed company by visiting the Candidate Home reputed company of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions. The university is an equal opportunity employer, including veterans and disability. Apply To This Job