Rev Audit Contract Appeals RN

Benefits

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Pay Starting at: $29.45 per hour based on experience

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

• Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
• Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Remote work from Illinois, Wisconsin, Indiana, Missouri, Iowa, or Ohio

Description

The Rev Audit Contract Appeals RN reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.

Using clinical knowledge and evaluation of documented patient treatments, this position receives, interprets and facilitates appeals on insurance denials post payment, including payer escalation and other escalation methods to secure payment. This position is responsible for management of audits, including those from the Centers of Medicare & Medicaid Services (CMS). This position provides financial data and analysis for internal and external reporting and ensures the hospital is prepared for audits and responds to all audit requests.

AA/EOE

Qualifications

Required:

• Licensed Registered Nurse (Current).
• Minimum of 3 years in Acute Care Setting or in Audit/Appeals position.
• Working knowledge of Miliman/Interqual guidelines.
• Ability to analyze data; strong communication skills and ability to work cross functionally with other departments.

Preferred:

• BSN in Nursing.
• Knowledge of Medicare reimbursement policies.

Equal Opportunity

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.