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Posted: Sunday, March 5, 2017 9:48 PM

Do you have an analytical as well as investigative mindset? Do you want to pair that with your knowledge of the healthcare field? Parallon is seeking candidates with revenue cycle/patient financial services experience to be a Nurse in our Clinical Appeals department. Parallon's Mission: We serve and enable those who care for and improve human life in their communities. Parallon, a division of HCA, is an industry-leading provider of patient financial and revenue cycle services to acute care providers across the United States. We are dedicated to our values and passionate about finding future leaders for our fast-growing divisions in the Dallas/Fort Worth area. Although we are the largest healthcare provider in the world and experts and leaders in revenue cycle services, we maintain a people-first culture and sense of community. As a Clinical Appeals Nurse, you would be responsible for handling appeals requiring clinical input or interpretation. Duties include, but are not limited to:Compose clinical appeal letters to send to payers for denial reconsiderations utilizing documentation, contract language, or voice recordings as applicablePresent a concise medical summary within each appeal based on support from the medical recordDemonstrate understanding of use of all Medical Necessity software, including but not limited to InterQual©Demonstrate ability to interpret medical payer policy requirementsStrong ability to research evidence-based practicesContact appropriate parties (internal and/or external) as needed for additional information to properly formulate the clinical appealDetermine root cause of each denial and apply company-specific coding for trending and analysis

Click here for more info: https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=08950-130703&lang=en


• Location: North DFW

• Post ID: 48552686 northdfw
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