Denials Resolution Specialist
Community Healthcare System
- Munster, IN
- Permanent
- Full-time
- Reviews the medical record and the Utilization/Case Management reports by utilizing InterQual criteria for severity of illness and intensity of service.
- Advises, assists and acts as a resource person for the Medical Staff.
- Coordinates, correspondence with physicians and the review appeal agencies.
- Registered Nurse with a Bachelor’s degree in nursing preferred. Relevant professional certification (certified coder, etc.) highly desirable.
- Three years minimum of successful experience in provider reimbursement. Two years recent experience in and acute care hospital setting.
- Medical, dental and vision coverage
- Wellness program, including free screenings
- Healthcare and Dependent Care Spending Accounts (HSA)
- Retirement savings plan
- Life insurance
- Disability income protection
- Employee Assistance Program (EAP)
- Fitness center discount program
- Tuition assistance and career development
- Paid Time Off (PTO)
- Reward and recognition programs