Revenue Recovery RN

Description

Revenue Recovery RN

This is a PRN, non-exempt/salary position on UCHealth’s Revenue Integrity team. No guaranteed hours; schedule may vary. This is a 100% work-from-home opportunity. 

Job Duties

· Writes clinical appeals to payors to recover denials. Coordinates with payors to conduct RN reviews and facilitates MD to MD peer reviews as necessary. Applies payor specific clinical criteria to review and determine the appropriate level of care. Participates in payor defense audits.

· Reviews charts to determine if charges support the documentation. Assesses line item overcharges, undercharges, and late charges. Tracks all audit findings. Communicates opportunities to mitigate audit risk. Resolves customer service and employee issues, utilizing proactive intervention.

· Coordinates new or revised procedures and policies. Analyzes process effectiveness; recommends changes as appropriate.

· Maintains knowledge of Federal, State and local billing regulations and partners with Managed Care contracting or compliance department on discrepancies. Maintains knowledge of ADT, registration and pre-admit/admit processes. Maintains knowledge of contracts, billing, follow up, and cash applications processes.

Requirements

· Graduate of an accredited Registered/Professional Nursing program if less than 3 years of experience

· CO State licensure as a Registered Nurse (RN)

· 3 years of clinical experience as a RN, including 1 year in acute care

· 1 year as a utilization reviewer, case manager or equivalent revenue cycle RN role

Preferred

· Bachelor’s Degree in Nursing

· CPHM, CCM, ACM

The pay range for this position is: $34.73- $53.83 / hour. Pay is dependent on applicant's relevant experience.

UCHealth offers a Five Year Incentive Bonus to recognize employee’s contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years’ employment.

UCHealth offers their employees a competitive and comprehensive total rewards package:

• Full medical, dental and vision coverage
• Retirement plans to include pension plan and 403(b) matching
• Paid time off. Start your employment at UCHealth with PTO in your bank
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition and continuing education reimbursement
• Wellness benefits
• 5 year incentive bonus
• Full suite of voluntary benefits such as identity theft protection and pet insurance
• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment: UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

At UCHealth, we do things differently

We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado’s largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it’s a passion.

Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we’ll do everything in our power to make sure you grow and have a meaningful career. There’s no limits to your potential here.

Be Extraordinary. Join Us Today!

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.