Patient access pre-authorization and clinical denials registered nurse | Ukiah, CA

Detailed Information

  • Location: Manchester, CA

of clinical denials.

This is a benefitted exempt full time (40 hour) Monday - Friday, 7:30am-4:00pm position What you'll do: Use benefits and order information on file to initiate and secure pre-authorizations in advance of the day of care. Communicate with physicians and payers to secure and/or provide missing demographic, insurance, and/or clinical information to authorize services.

Identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Submit retro-authorizations to insurance companies. Assist prior authorizations representatives with clinical inquiries. What you'll bring: Optimal Customer service. Bachelor's degree in Nursing required. At

least three (3) years of nursing experience required in either clinical, case management or denials and billing. Who we are: Catholic Medical Center (" CMC" ) is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire.

CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country. We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment. CMC is proud to be named to the Forbes list of America's

Best-in-State Employers for two consecutive years. This prestigious award is presented by Forbes and Statista, Inc.

and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States. With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day. Catholic Medical Center is an equal opportunity employer and we embrace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

For more details: jobs-search. org/insurance_manchester-c425504/patient-access-pre-authorization-and-clinical-denials-registered-nurse-manchester_i1949397802

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