Registered Nurse - Payment Auditor - Saint Paul

Job DescriptionRegistered Nurse - Payment AuditorSaint Paul, Minnesota St. Paul is the second city that forms Minnesota's Twin Cities. As a large business hub in the upper Midwest, the St. Paul area is home to headquarters of many healthcare giants including Mayo Clinic, Ecolab, Allina and Essentia Health. Whether you are looking to relocate or are a current resident, job opportunities in St. Paul are abundantOn Time Talent Solutions is seeking a Registered Nurse with payment auditing experience who is passionate and lines up with their mission and values. If you are excited about the growing fields of Analytics and who would like to join an amazing team! Registered Nurse - Payment Auditor Responsibilities:

• Conducts reviews and responding to insurance denials
• Writes concise, factual letters and provides medical record documentation to support appeal
• Effectively communicates verbally with external and internal customers to ensure argument for appeal is clearly presented
• Prioritizes and organizes own work to meet appeals and grievance deadlines
• Responsible for the denials process, including subsequent appeal to health insurance
• Reviews for completeness of documentation based on charges
• Reviews charges for completeness and accuracy based on documentation
• Determines if charges supported by documentation have been missed
• Demonstrates awareness of departmental charging procedures and serves as a liaison between department managers and Patient Financial Services.
• Demonstrates awareness of payer specific reimbursement methodologies and payer specific policies and procedures regarding charging, coding, billing, claim processing, and dispute resolution to assist patients and employees.
• Assists and educates patient representatives regarding pricing questions and item descriptions as needed to increase efficiency
• Performs patient inquiry audits as requested
• Provides audit results and written explanation of line items (if needed) to the patient representative or supervisorRegistered Nurse - Payment Auditor Qualifications:
  • Associates Degree Graduate from an accredited NLN/CCNE institution required
  • 2 years RN experience required
  • NursingRN - Registered Nurse - State Licensure and/or Compact State Licensure required