Lead Revenue Integrity Nurse

Baptist Healthcare System Inc

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.
  • Also performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing.
  • 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
  • Respond to denials or audits

Nice-to-have

  • clinical excellence
  • teamwork and innovation
  • growing family

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