$62,500.00 - $79,800.00/ based on experience; bonu...
Fully remote
Understanding insurance contract terms
Analyzing medical records
Understanding payer medical policy guidelines
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, offering end-to-end solutions and point solutions
Job Summary
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, offering end-to-end solutions and point solutions.
The Denials RN Coordinator prepares appeals for clinical and technical claim denials, analyzes medical records, and ensures compliance with HIPAA and ERISA.
The company offers bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement opportunities.
Matching Summary
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, offering end-to-end solutions and point solutions.
Salary
$62,500.00 - $79,800.00/ based on experience; Bonus Incentives; Comprehensive Benefits
Skills & Requirements
Must-have
understanding insurance contract terms
analyzing medical records
understanding payer medical policy guidelines
preparing IRO appeal documentation
submitting provider, member and IRO/ALJ appeals
reviewing claim denials and underpayments
Nice-to-have
customer obsession
embracing new ideas
striving for excellence
human touch
challenging the status quo
Key Requirements
Registered Nurse RN license
5 to 7 years job experience
2 years denials, utilization review, or case management experience