What are the responsibilities and job description for the RN - Denial Prevention Analyst | Avera Heart Hospital position at Avera Heart Hospital of South Dakota?
Location:
Sioux Falls, SDWorker Type:
RegularWork Shift:
Day Shift (United States of America)Avera Heart Hospital, isn't just a place to work, it's a family. Our 650 employees are what make the difference in our care and why we are one of the only few hospitals out of 4,000 nationwide to achieve a double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great!
Position Highlights
Position Summary:
The RN – Denial Prevention Analyst coordinates facility wide denial and denial prevention information for Avera Heart Hospital and North Central Heart. This individual will be responsible for reviewing technical Patient Access, HIM and Business Office denials trends in order to identify and implement prevention opportunities. Furthermore, the RN - Denial Prevention Analyst works accounts in Denial Management desktop to provide resolution.
Work Schedule:
Monday - Friday 8-5pm
Education/Experience:
Bachelor’s degree in nursing required. Four years of Revenue Cycle, Billing, Third-Party Payer, Managed Care, Prior Authorization or Denials experience required.
Licensure/Certification:
Registered Nurse with current state licensure or licensure from a state within the Nursing Compact.
