Denial Prevention Nurse Consultant - Remote

Only for registered members Remote, United States

5 days ago

Default job background

Job summary

We are seeking a Denial Prevention Nurse Consultant to join our team at Revecore. As a Denial Prevention Nurse Consultant, you will be responsible for thorough review of medical records and other medical documentation to determine appropriate billable services for hospital construction an appeal for payment based on medical necessity or payer specific guidelines or criteria.
  • Analyze medical records or other medical documentation to validate services tests supplies and drugs performed for accuracy related to billing for services rendered
  • Identify and interpret medical radiological laboratory or other tests and procedures as well as pharmaceutical drugs
  • Review and understand managed care contracts hospital billing statements bills insurance denials research commercial governmental payor policies clinical abstracts studies other documentation related claims payment evaluate appeal denied claims.

Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.

Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Get full access

Access all high-level positions and get the job of your dreams.



Similar jobs

  • Only for registered members Remote (United States)

    We are seeking a compassionate and dedicated Psychiatric Nurse Practitioner (PMHNP) or Physician Associate with pediatric experience to provide psychiatric consultation and treatment support to pediatric primary care providers within a Collaborative Care Model.Your contributions ...

  • Only for registered members US - Remote

    The Senior Director Nursing serves as a strategic clinical and academic leader responsible for advancing employer-aligned nursing education solutions that strengthen healthcare workforce outcomes.This role provides leadership and subject matter expertise in the development, imple ...

  • Only for registered members Remote, US

    We are a user-driven company and are committed to making sure every pixel of our product is in service of the doctors. · Come and join us  · You will partner with Suki's Commercial organization to support nursing-focused sales opportunities, serving as the nursing subject matter ...

  • Only for registered members Remote, USA

    We are seeking an experienced Nurse Practitioner Manager to lead our growing Nursing organization remotely. The ideal candidate will have a Master's degree in Nursing, active NP licensure, and at least 3 years of experience leading or mentoring clinicians. Key responsibilities in ...

  • Only for registered members Remote, USA

    The Nurse Practitioner Manager serves as a frontline clinical lead and mentor within Prenuvo's growing Nursing organization. · ...

  • Only for registered members Remote

    Honeydew is on a mission to make high-quality, accessible, and affordable skincare available to everyone. · We provide personalized care and evidence-based solutions to meet the diverse needs of our patients. · Join us in reshaping dermatological care with a compassionate and pat ...

  • Only for registered members Remote (United States)

    We seek a Clinical Education Consultant to design realistic clinical scenarios for our interactive learning platform. · Collaborate with educators to develop simulation cases. · Ensure content aligns with nursing competencies. · ...

  • Only for registered members Remote

    Honeydew is seeking a dedicated and experienced Dermatology Nurse Practitioner (NP) to join our remote care team. · ...

  • Only for registered members Remote

    Honeydew is seeking a dedicated and experienced Dermatology Nurse Practitioner (NP) with a valid US license to join our remote care team. · ...

  • Only for registered members Remote

    Honeydew is seeking a dedicated and experienced Dermatology Nurse Practitioner (NP) to join our remote care team. · ...

  • Only for registered members Remote (United States)

    Sigma Tactical Wellness and TeleMed2U company is seeking a Part-Time Nurse Practitioner to become a part of our team You will focus on providing high quality patient care as part of a healthcare team Our patients are first responders/law enforcement enrolled in a cardiac wellness ...

  • Only for registered members United States - Remote

    OpenLoop is looking for a Nurse Practitioner Team Lead to join our team remotely or at HQ in Des Moines, IA. · ...

  • Only for registered members Remote Full time $30.46 - $37.20 (USD)

    GE's Onshore wind power capacity is growing fast and will continue to rise steadily in the coming years. · ...

  • Only for registered members Remote Full time $30.46 - $37.20 (USD)

    We are looking for a Wind Hub Technician to maintain optimal function and output at the wind site by working daily on turbine operations, · required maintenance, safety, quality control and warranty repair(s). ...

  • Only for registered members Remote

    We have an opening for a Quality Improvement Advisor (QIA) I - Remote. · The full-time remote QIA I will serve as the primary liaison and coach for healthcare facilities across Washington State to drive improvements in patient outcomes. ...

  • Only for registered members Remote

    Mountain Pacific partners within communities to provide solutions for better health. They have an opening for Quality Improvement Advisor (QIA) I - Remote in Washington State. · ...

  • Only for registered members Remote

    The RNN (Referral Nurse Navigator) is the primary liaison between AristaMD clients and our network of specialists, · Bachelor's degree preferred · Current, unrestricted LPN, LVN, or RN license required · 2+ years' experience in the nursing field · Familiarity with eConsults, refe ...

  • Only for registered members Remote

    +Engagement Managers in our Strategic Transformation line of business are integral members of our consulting teams. · ...

  • Only for registered members United States (Remote) OTHER

    ++The Clinical Development Manager (Administrative Track) supports the Assistant Medical Director in strengthening the performance and consistency of Patient Care Administrators (PCA) and administrative teams across all offices. · + · + · Deliver onboarding consulting, refresher, ...

  • Only for registered members Remote

    +Job summary · Associate Consultants are integral members of our consulting teams, · + · ...

  • Only for registered members Remote

    +We are seeking a Financial Transformation Consultant to join our team at Chartis. · + ...