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Job description
Experience Required
n2 - 20 years
nMinimum Education Required
nBachelor's Degree
nCompensation
n$7.25 / hourly
nHours Per Week
n40
nNumber Of Positions
n1
nWork Schedule and Shift Requirements
nFirst (Day)
nJob Description
nSummary
nJob Description:
nBaptist Health is looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency in KY or IN
nResearch denials or audits from all commercial and governmental payors. Performs payor compliancereview on accounts to determine medical necessity of services, pre and post service as well as pre andpost billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by
npayor. Responds to all account reviews with the best possible efforts to ensure reimbursement,recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor orgovernment timelines. Recovery efforts include but are not limited to written letter, email, web site, andtelephonic communication.
nQualifications:
nBachelor's Degree in related field, Practical Nurse License, or Coding Certification with two years of healthcare experience
nIn lieu of Bachelor's degree, five years of healthcare experience required including two years in a revenue cyclerelated area such as registration, patient financial services, or managed care.
nRequires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity,and timely filing guidelines); payor denial appeal / payment variance resolution processes; and managed care contracts.
nIndividuals working with payor audits must have a keen understanding of all audit response requirements and timelines
nIf you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
nBaptist Health is an Equal Employment Opportunity employer.
n"EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to r ace, color, national origin, gender, s exual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing.
nNOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES
nPersons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call . For TDD to voice, call ."
nJob Type
nFull time
nBenefits Offered
nNot specified
nVeteran Preference
nNo
nPlace of Work
nOn-site
nRequisition ID
nR
Worksite address
louisville, KY, 40201, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.