1 Livingston HealthCare Job
Livingston HealthCare is Hiring a Remote Revenue Integrity Nurse Auditor(Hybrid)
JOB SUMMARY:
The primary responsibility of this position is to provide clinical expertise in the Revenue Cycle. This position must be able to read and understand documentation in the patient’s medical record. This position will be expected to understand billing and compliance regulations and will expand that knowledge through continuing education. This position is an important part of providing excellent and expert customer services for Livingston HealthCare’s patients, patient families, and coworkers.
This position will assist with appealing denials which need clinical expertise. That will include reviewing the medical record and responding in a timely manner to the billers, customer service representatives, reimbursement specialists and patients. This position will work with departments to minimize lost charges, reduce denials, post assigned specialty charges, and help implement processes to reach these goals.
This position must be able to communicate complex concepts in terms that the listener can understand. This position is responsible for accurately answering questions, providing feedback to the inquirer, noting the hospital revenue cycle system, and reconciliation of the accounts. This position will assist with coding/billing/compliance audits as needed. This position coordinates response and all correspondence relating to No Surprises Act disputes.
This position must be self-motivated and detail oriented. Analytical skills, working knowledge of the various systems and departmental processes are essential.
Schedule:
- 1.0FTE (40 hours)
- Hybrid Position
- Monday- Friday flexible position
Compensation:
- $33.79 DOE
ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:
- Provides clinical expertise to Revenue Cycle. This includes reviewing medical record and responds to billers, customer service, and others as needed to educate, investigate, and resolve issues.
- Coordinates response and correspondence to the No Surprise Act Independent Dispute Process.
- Coordinates all elements related to the payor audits and disputes, patient requested audits, and charge capture auditing
- Works in a timely manner for all tasks and communications.
- Demonstrates and builds a knowledge of billing, coding, and compliance guidelines and conventions
- Audits and posts specialty charge reconciliation as assigned
- Attention to detail
- Excellent communication skills.
- Prepares pricing estimate for expected services based on approved LHC methods.
- Communicates with patient via established methods the expectations of LHC business services.
- Interprets and explains expected charges, services, and hospital policy regarding payment of bills to patients and their families.
- Ability to instruct and educate.
- Communicate and interface with hospital personnel, medical staff, patients, and family members to ensure high-quality patient care and excellence in customer service.
- Perform related duties as assigned.
- Excellent research abilities
- Patient and customer focused
OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES:
- Supports and models individual behavior consistent with the Standards of Excellence and the mission, vision and values of Livingston Healthcare.
- Demonstrates commitment to customer service by:
- Building effective working relationships and treating others with respect.
- Interacting with customers (patients, co-workers and visitors) in a warm and friendly way.
- Taking immediate action to meet customers’ needs or request.
- Attentive to each customer concern.
- Demonstrates and encourages an ethic of open and effective communication and teamwork throughout the organization.
- Adheres to Livingston HealthCare’s Code of Conduct and Livingston HealthCare and departmental compliance policies.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.
QUALIFICATIONS (Required):
- Associates or Bachelor of Science in Nursing perferred.
- 3 years’ experience in hospital, clinic, payor organization setting preferred.
- Auditing experience preferred.
- Working knowledge of hospital charging, billing, system interfaces, contract adjustments preferred
- Knowledge of CPT/HCPCS procedural coding and Charge Description Masters strongly preferred.
- Experience with PCs, word processing, spreadsheet, graphics, and database software applications is desired.
- Ability to work independently, efficiently and accurately prioritizing varying workloads required. Strong quantitative, analytical, and organization skills required.
- Excellent communication skills to deal effectively with the public, department staff, hospital staff, and medical staff required.
- Positive attitude to work effectively with department staff required.
ADDITIONAL DESIRABLE QUALIFICATIONS:
- Mature personality, sense of responsibility, and integrity.
- Excellent organizational skills and time management skills.
- Analytical and decision making skills.
- Ability to multi task and maintain a flexible daily work schedule.
- Seek opportunities to provide quality customer service.
Job Summary
Full Time
Hospital
$56k-74k (estimate)
11/04/2023
06/09/2024
livingstonhospital.com
LIVINGSTON, MT
200 - 500
1955
Private
BREN LOWE
$10M - $50M
Hospital
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