Provides patient focused customer service within the Emergency Department, performing outpatient and inpatient registration, insurance verification, and financial liability collection.
Locations (2)
Oakland
Pontiac, Michigan, United States
Compensation
Minimum rate of pay: $16.92
Responsibilities
Research, collect, and analyze information
Identify opportunities, develop solutions, and lead through resolution
Collaborate on performance improvement activities
Responsible for distribution of analytical reports
Utilize multiple system applications to perform analysis, create reports, and develop educational materials
Degrees:
Bachelors.
Licenses & Certifications:
Registered Nurse.
Additional Qualifications:
Minimum 3 years of clinical experience.
Procedural coding, billing and audit experience required.
Extensive knowledge of laws, regulations and rules applicable to billing government payers is helpful.
Demonstrated ability to be self directed with excellent organization, analytical and interpersonal skills.
Excellent oral and written communications skills.
Strong attention to detail.
National certification in related department specialty preferred.
Minimum Required Experience:
4 Years
EOE, including disability/vets
The Nurse Auditor is an expert clinician who combines clinical practice with education and leadership to oversee and perform concurrent, pre-bill and retrospective audits of billed charges against medical records to identify missing revenue and improve charging practices.
Compensation
Estimated salary range for this position is $82118.40 - $109217.47 / year depending on experience.
Responsibilities
Oversees and performs concurrent, pre-bill and assists with retrospective audits of billed charges against medical records to identify missing revenue
Identifies opportunities related to charging properly and determines the root cause
Works with leadership team to develop appropriate and standard charging and documentation practices
Participates in the annual departmental charge master review
Assists in the training of clinical staff on changes in the chargemaster
Requirements
Bachelor's
Nice to have: National certification in related department specialty
Provides patient-focused customer service, performs outpatient or inpatient registration and insurance verification, collects financial liability payments, and ensures patients meet financial requirements including medical necessity, payer-certifications, and referrals.
Responsibilities
Perform outpatient andor inpatient registration and insurance verification functions
Collect patient financial liability payments
Ensure patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals
Provide general information to hospital users, patients, families, and physician offices
Provides patient focused customer service, outpatient and inpatient registration, insurance verification, and financial liability collection for a health care system.
Responsibilities
Provides patient focused customer service
Performs outpatient and inpatient registration
Verifies insurance and collects patient financial liability payments
Ensures patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals
Provides general information to hospital users, patients, families and physician offices
Provides patient focused customer service, performing registration and insurance verification functions in the Emergency Department and other inpatient/outpatient settings.
Responsibilities
Validate and enter demographic, clinical, financial, and insurance information into the patient accounting system
Collect patient financial liability payments and ensure compliance with Medicare and payer requirements
Obtain signed physician orders for tests and procedures
Prepare identification bracelets and patient ID labels
Special Investigations Unit Pre Pay Coding ConsultantUnitedHealth Group · Remote, US
Nurse Auditor, Surgical AdministrationBaptist Health · Miami, US
Nurse AuditorBaptist Health South Florida · Miami, US