Registered Nurse - Revenue Cycle Specialist
Claims Specialist - Registered Nurse (Revenue Cycle Specialist) - Remote (#R10257)
- Location: Remote
- Employment Type: Full-Time
- Hourly Rate: $60.00/hour
About Greenlife Healthcare Staffing:
Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Position Overview:
An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Registered Nurse role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.
Why Join Us?
- Competitive Compensation: $60.00/hour
- Work Schedule: Full-time, Monday–Friday
- Comprehensive Benefits: Comprehensive benefits package
- Professional Growth: Bridge clinical nursing and revenue cycle management
- Impactful Work: Ensure appropriate reimbursement through clinical documentation integrity
Key Responsibilities:
- Review medical records for medical necessity and coverage
- Support appeals and pre-authorization processes
- Interpret clinical data for revenue cycle teams
- Liaise with payers to resolve disputes
- Ensure documentation supports reimbursement
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.
Requirements
Qualifications:
- Job qualifications & certifications:
- Active NY RN license
- Experience in billing, reimbursement, or utilization review
- Knowledge of payer policies and CMS guidelines
- Skills:
- Strong communication skills
- Ability to interpret policies and coverage criteria
- Analytical thinking
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