Clinical Financial Case Manager Ii- Irp

Ohio State University Physicians Inc

Columbus, Ohio, US
Clinical interpretation and analysis
Revenue cycle management
Precertification for outpatient procedures
The Senior Reimbursement Analyst position is responsible for intervention and follow-up on accounts that require clinical interpretation and analysis along the revenue cycle

Job Summary

  • The Senior Reimbursement Analyst position is responsible for intervention and follow-up on accounts that require clinical interpretation and analysis along the revenue cycle.
  • This position requires a high level of clinical knowledge and the ability to use a work proficiently in the Integrated Health Information Systems (IHIS).
  • The university is an equal opportunity employer, including veterans and disability.

Matching Summary

The Senior Reimbursement Analyst position is responsible for intervention and follow-up on accounts that require clinical interpretation and analysis along the revenue cycle.

Skills & Requirements

Must-have

  • clinical interpretation and analysis
  • revenue cycle management
  • precertification for outpatient procedures
  • rejected claims follow-up
  • Integrated Health Information Systems (IHIS)
  • identify trends and process improvement

Nice-to-have

  • support through education and communication
  • disease implications understanding
  • off-label definitions and policies
  • civil and free inquiry ethic

Key Requirements

  • Associate or Bachelor Degree in Nursing preferred
  • Minimum of 3 years oncology experience
  • Minimum of 3 years experience in oncology
  • Experience with Windows, Excel, Access
  • Knowledge of Medicare and commercial insurance reimbursement
  • Strong knowledge of ICD-10-CM, HCPCs, and CPT coding preferred
  • Excellent verbal and written skills

Work Rights

Not specified

Tailored Resume

Cover Letter