Clinical Financial Case Manager Ii- Irp

Wosu Org Corp

Intermittent (scheduled hours: 0.2, first shift)
Clinical knowledge in oncology
Experience with icd-10 and cpt coding
Proficient in integrated health information systems
The Clinical Financial Case Manager II position at Wosu Org Corp focuses on managing the revenue cycle for oncology-related claims, emphasizing precertification and denial follow-ups. The ideal candidate should possess a strong clinical background in oncology, alongside proficiency in reimbursement processes and coding

Job Summary

  • The position is responsible for intervention and follow-up on accounts requiring clinical interpretation and analysis along the revenue cycle.
  • The role focuses on assuring precertification for outpatient procedures and managing rejected claims.
  • Candidates will provide education and support to clinical staff and managed care payers to reduce denials.

Matching Summary

Match Score: 85

The Clinical Financial Case Manager II position at Wosu Org Corp focuses on managing the revenue cycle for oncology-related claims, emphasizing precertification and denial follow-ups. The ideal candidate should possess a strong clinical background in oncology, alongside proficiency in reimbursement processes and coding.

Skills & Requirements

Must-have

  • Clinical knowledge in oncology
  • Experience with ICD-10 and CPT coding
  • Proficient in Integrated Health Information Systems

Nice-to-have

  • Strong verbal and written communication skills
  • Ability to identify trends for process improvement
  • Experience in physician practice

Key Requirements

  • Associate or Bachelor Degree in Nursing preferred
  • Minimum of 3 years oncology experience
  • Knowledge of Medicare and commercial insurance reimbursement

Work Rights

Not specified

Tailored Resume

Cover Letter