drjobs Appeals Nurse - Technical Analyst

Appeals Nurse - Technical Analyst

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1 Vacancy
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Job Location drjobs

Baltimore, MD - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

You Belong Here! Come see why the Johns Hopkins Health System is a world-renowned leader in patient care serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers from primary visits to emergency care.

Take a tour of our campus:

is a remote position. Our organization is registered for remote work in the following states: MD VA DC FL PA and DE.

What You Wil Do:

Reporting to the Revenue Cycle Manager Technical Billing the Technical Nurse Analyst is primarily responsible for timely resolution of clinical appeals received as the result of line-item denials from the Patient Financial Services Billing teams. This position will need to be able to effectively communicate resolution to appellant while providing resources to non-clinical staff in review of administrative denials or appeals involving coding disputes. The Technical Nurse Analyst will also produce Epic reports and analyze data to determine with the Senior Billing Specialist Patient Financial Reporting Analyst and Revenue Cycle Manger Technical Billing which accounts need to be appealed based on past data and clinical documentation.

Critical to this position is the ability to track appeals on logs databases and other data as deemed appropriate. Incumbent will also serve as a preceptor resource advisor and a leader to the other members of the clinical Appeals staff and the technical billing team. The Technical Nurse Analyst will also assist with review of accounts for coding edits as needed.

What Awaits You:

Our competitiveBenefit Packageis designed to support the well-being and financial security of our employees and includes:


Required Experience:

IC

Employment Type

Full-Time

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