Revenue Cycle Precertification Nurse- LPN- Monday-Friday 8am-5pm- Benson TowerWork From Home

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner whether you work with patients every day or support those who do you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

Education

Required -Licensed Practical Nurse (LPN) Diploma

Work Experience
Required - 3 years of Hospital based experience in the delivery of patient care

Preferred - Ambulatory experience

Certifications

Required -Current LPN license in the state of practice

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally.
• Must be proficient with Windows-style applications various software packages specific to role and keyboard.
• Excellent customer service skills including the ability to gather and disseminate information with a diverse range of people either in person or over the phone.
• Excellent interpersonal skills including the ability to work collaboratively with other departments and functional areas and the ability to handle high-pressure difficult situations.
• Good organizational and time management skills including the ability to work with minimal supervision.
• Excellent decision making and critical thinking skills.
• Good analytical skills with a strong attention to detail.
• Proficiency in application of medical necessity criteria standards of practice and research regarding precertifcication guidelines.
• Ability toprioritize tasks and manage multiple taks with efficiency and quality.
• Working knowledge anduse and terminology associated with CPT and ICD-10 coding Medicare guideline HMO and PPO contracts and other insurance billing processes.

Job Duties

• Secures clinical documentation and performs pre-service medical necessity reviews to obtain prior authorizations.
• Maintains professional and technical knowledge and certifications; ensures all regulatory requirements are met within department.
• Assists in the day-to-day operations of the department.
• Consistently supports the company and its Business Services Goals and Core Values.
• Performs other duties as assigned.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities duties and skills. Other duties may be added or this description amended at any time.
Remains knowledgeable on current federal state and local laws accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety patient privacy and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status or disability status.

Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Light Work - Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace especially in an industrial setting can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood body fluid or tissue but exposure or potential for exposure may occur.

The incumbent may work with patients who have known or suspected communicable diseases and may enter isolation incumbent has an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt transport storage preparation dispensing administration cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado California Hawaii Illinois Maryland Massachusetts Minnesota New Jersey New York Vermont Washington and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website or if you need an accommodation to complete the application process please contact our HR Employee Solution Center at (select option 1) or. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class including protected veterans and individuals with disabilities.