Claims Specialist Registered Nurse (Revenue Cycle Specialist)

GreenLife Healthcare Staffing

Job Location:

Jericho, VT - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Claims Specialist - Registered Nurse (Revenue Cycle Specialist) - Remote(#R10257)

Location:Remote
Employment Type: Full-Time
Hourly Rate: $60.00/hour

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals clinics nursing homes multi-specialty groups and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

An established peer-review and compliance organization is seeking a candidate with experiencein billing and coding with a claims background for aClaims Specialist - Registered Nurse role.The position supports independent dispute resolutions through CMS (Center for MedicaidServices).Experience with multispecialty coding and billing is highly preferred.

Why Join Us

Competitive Compensation: $60.00/hour
Work Schedule: Full-time MondayFriday
Comprehensive Benefits: Comprehensive benefits package
Professional Growth: Bridge clinical nursing and revenue cycle management
Impactful Work: Ensure appropriate reimbursement through clinical documentation integrity

Qualifications:

Job qualifications & certifications:
- Active NY RN license
- Experience in billing reimbursement or utilization review
- Knowledge of payer policies and CMS guidelines
Skills:
- Strong communication skills
- Ability to interpret policies and coverage criteria
- Analytical thinking

Key Responsibilities:

Review medical records for medical necessity and coverage
Support appeals and pre-authorization processes
Interpret clinical data for revenue cycle teams
Liaise with payers to resolve disputes
Ensure documentation supports reimbursement

How to Apply:Submit your Resume/CV and RN license to or call to join our revenue cycle team.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals Enriching Lives.

Required Experience:

Claims Specialist - Registered Nurse (Revenue Cycle Specialist) - Remote(#R10257)Location:RemoteEmployment Type: Full-TimeHourly Rate: $60.00/hourAbout Greenlife Healthcare Staffing:Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare profession...