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Appeals Denial Specialist - RN

We Are Hiring

Appeals Denial Specialist - RN- Revenue Cycle Mgmt - Full-Time,Day - Ascension Michigan

Location: Cooperate Service Building (CSB) Warren, MI

Why Join Ascension?

In Michigan, Ascension operates 16 hospitals and hundreds of related healthcare facilities that together employ over 20,000 associates. Across the state, Ascension Michigan is working together to help bring patients more resources and better care. Ascension Michigan is also committed to its community; it provided over $272 million in community benefit and care of persons living in poverty in FY2018. Ascension Michigan is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities.

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

 

What You Will Do

As an Associate with Ascension St. John Health-MI, you will have the opportunity to coordinate the review, analysis and organization of charge master activities.

Responsibilities:

  • Utilizes clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve complex billing inconsistencies.
  • Collaborates with managed care department to code billable items for reimbursement. Collaborates with appropriate staff to secure information for billable items.
  • Analyzes content of reports and software edits and makes recommendation for revisions with appropriate departments.
  • Identifies opportunities to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts. Coordinates the resulting project and/or audit.
  • Serves as support for both complex and routine operations and administrative issues.
  • Educates and advises staff and other departments regarding payer changes and denial/appeal process.

What You Will Need

Education:

  • Diploma
    • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required

Work Experience:

  • Clinical experience as an Registered Nurse (RN) preferred
  • 3 years of experience with Utilization Review in a hospital setting preferred
  • Experience with denial/appeal process preferred

Equal Employment Opportunity

Ascension Michigan is an equal opportunity and affirmative action employer. We provide equal employment opportunities to all associates and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, height, weight, genetic information, marital status, amnesty, veteran status or any other legally protected status in accordance with applicable federal, state and local laws. The information requested on this application will not be used for any purpose prohibited by law. If you require assistance or an accommodation to complete this application, please let us know.
 
For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:
M/F/Disabled/Vet
 
 
Reasonable Accommodation
Ascension Michigan provides reasonable accommodation so that qualified applicants with a disability may participate in the selection process. Please advise us of any accommodations you request in order to express interest in a position by e-mailing: reasonableaccommodations@stjohn.org. Please state your request for assistance in your message. Only reasonable accommodation requests related to applying for a specific position within Ascension Michigan will be reviewed at the e-mail address supplied.
Thank you for considering a career with Ascension Michigan.
 
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension Michigan participates in the Electronic Employment Verification Program.  Please click the E-Verify link below for more information.

E-Verify (link to E-verify site) 

Job ID: 357630
Category: Patient Services
Facility: MIDET St John HealthParent
Ministry: Ascension SE Michigan, MI
Location: Warren, MI

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