Lead Revenue Integrity Nurse

BHS (Baptist Health System)

Kentucky, US
Fully remote
Denial or audit management
Payor compliance
Medical necessity review
Supports the clinical staff performing Denial or Audit Management and Payor Compliance at all facilities and corporate offices

Job Summary

  • Supports the clinical staff performing Denial or Audit Management and Payor Compliance at all facilities and corporate offices.
  • Obtains predeterminations / prior authorizations when required by payor.
  • Responds to all denials or payor audits with best possible efforts to recover outstanding revenue or prevent future revenue loss, meeting all appropriate payor or government timelines.

Matching Summary

Supports the clinical staff performing Denial or Audit Management and Payor Compliance at all facilities and corporate offices.

Skills & Requirements

Must-have

  • Denial or Audit Management
  • Payor Compliance
  • medical necessity review
  • revenue recovery
  • clinical resource

Nice-to-have

  • growing family focused
  • clinical excellence
  • teamwork and innovation

Key Requirements

  • BSN required
  • Two years' experience in revenue cycle
  • one year supervisory experience
  • Valid Kentucky Licensure as a Registered Nurse

Work Rights

Not specified

Tailored Resume

Cover Letter