Back to the board

PRN Clinical Denial Analyst (RN), Remote IN – Amazon Store

100% remote Flexible hours Hiring now

CLINI011082 Incentives: Eligible for evening/night, weekend shift incentive based on company policies and applicable job codes. Additional details will be provided during the interview process.   Bonus: Potential for a performance-based bonus, subject to eligibility criteria and achievement of defined metrics. Details regarding bonus eligibility and performance goals will be provided during the interview process or upon hire.   Benefits: We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer:

  • Flexible work schedules
  • Payactiv-earned wage benefit-work today, get paid tomorrow
  • Free access to fitness centers
  • Career advancement opportunities
  Explore All Benefits:   Job Overview: This position is responsible for working assigned denials (such as no authorization, medical necessity, and readmission) from assigned workqueues according to policy and established productivity standard. This position will work with third party payors to obtain payment on accounts according to legal and proper collection techniques as well as maintain accounts receivable goals developed by the department. The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial Analysis Team to make appropriate changes to prevent future denials. Required: Certifications/Licenses/Experience:
  • Active Registered Nurse (RN) in Indiana or other compact licensure state
  Preferred Certification/License/Experience:
  • BSN
  • Three (3) to five (5) years of clinical experience as a Registered Nurse in an acute care or specialty hospital
  • Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital
  Other Key Words: Registered Nurse // HRS // Healthcare Resources // UM // Utilization Management // Case Management // PRN // DSS // Supplemental Department: HRS Hours: PRN, Supplemental

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

apply to this job

Keep exploring

Remote Clinical Intake/Triage Registered Nurse- Contractor

100% remote Flexible hours

Claims Professional – Amazon Store

100% remote Flexible hours

Business Owners Insurance – Amazon Store

100% remote Flexible hours

Deputy Program Manager job at Digital Management, Inc

100% remote Flexible hours

Program Manager, Sunrise Demo Systems

100% remote Flexible hours

Program Manager, Creative Digital Design (Remote

100% remote Flexible hours

Accounts Receivable Specialist (Work Remotely Anywhere in the U.S.) – Amazon Store

100% remote Flexible hours

Admin Data Entry Clerk-Remote Work From Home – Amazon Store

100% remote Flexible hours

System Administrator (REMOTE) – Amazon Store

100% remote Flexible hours

Online Academic Advisor (Remote or One Site Available) – Amazon Store

100% remote Flexible hours

Experienced Part-Time Remote Focus Group Panelists – Flexible Work from Home Opportunities with arenaflex

100% remote Flexible hours

Senior QA Analyst, AI & Machine Learning Systems

100% remote Flexible hours

Music and Recorded Sound Archivist job at University of Colorado Boulder in Boulder, CO

100% remote Flexible hours

Senior Software Engineer, Security

100% remote Flexible hours

Experienced Remote Data Entry Research Panelist – Flexible Part-Time or Full-Time Work from Home Opportunity at blithequark

100% remote Flexible hours

[Remote/WFM] Sr Rep, Enrollment - Remote

100% remote Flexible hours

Experienced Part-Time Data Entry Specialist – Remote Administrative Support Opportunity with Flexible Scheduling and Competitive Hourly Pay at arenaflex

100% remote Flexible hours

Experienced Customer Service Representative – Remote Work Opportunities at arenaflex

100% remote Flexible hours

Looking for Part Time Senior Caregiver in San Jose, CA

100% remote Flexible hours

Privacy and Compliance Specialist

100% remote Flexible hours