Payor Dispute Nurse Reviewers
Auto ImportMichael Hill MD and Associates United States
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Company Description
Michael Hill, MD and Associates focuses on payment disputes between payors and hospitals. We review clinical records, claim adjudication histories and form an opinion on the resolution of the individual claims.
Role Description
This is a part time remote role for a Payor Dispute Nurse Reviewer at Michael Hill, MD and Associates. The Payor Dispute Nurse Reviewer will be responsible for reviewing hospital payment disputes with insurance companies, ensuring accurate reimbursement for provided services. The Nurse Reviewer will have had 5-7 years of experience in case management, utilization management, or claim denial management with either a hospital provider or payor.
Qualifications
- Nursing experience with medical record review and denial management,
- Knowledge of healthcare billing and revenue cycle management
- Strong analytical and problem-solving skills
- Detail-oriented and able to work independently
- Experience in payer disputes and claims resolution
- Excellent communication and negotiation skills
- Ability to prioritize and manage multiple tasks efficiently
- Bachelor\'s degree in Nursing or related field
Seniority level
-
Seniority level
Mid-Senior level
Employment type
-
Employment type
Full-time
Job function
-
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#J-18808-Ljbffr Salary: USD 72000 - 108000 per year Experience: 3 years required