Baptist Health is looking for a Revenue Integrity RN to join our team! This is a remote work position that requires residency in KY or IN Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations / prior authorizations when required by payor. Reviews medical necessity denials from commercial and governmental payors, including pre-denial audits performed by RACs or similar Medicare and Medicaid programs. Serves as clinical resource for other Revenue Integrity staff. Valid Kentucky licensure as a registered nurse. Minimum three years healthcare experience (nursing, registration, patient accounting, financial services, managed care or a related field) or a bachelor’s degree in a related field and two years healthcare experience. Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); and managed care contracts. Case Management and/or Inpatient nursing experience strongly preferred. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an
...Cruise Consultant Title: Cruise Consultant Help Clients Plan Their Dream Cruises in the ocean or the river. Are you passionate... ...finish. This role offers flexibility with the opportunity to work from home. Responsibilities: Plan and book clients' cruises,...
...per hour , based on experience and skill level We are looking for an experienced Tool and Die Maker and/or Tool and Die Repair professional with a strong manual machining background and experience working in a job shop environment . Important: Applicants...
Our Consumer & Community Banking division serves our Chase customers through a range of financial services, including personal banking... ...consistency and quality across operational workflows.As an Applied AI/ML Executive Director in our AI for Operations organization, you will help...
...DescriptionDescription:The individual will have overall responsibility for working on a variety of projects primarily involved in web site design, graphic design and development, including creation of custom graphics. The position is responsible for designing the user interface and...
...Bring Prior experience booking or selling cruises (preferred). Strong knowledge of ocean and river cruise options. Ability to work independently and stay organized. Excellent customer service and upselling skills. Benefits Remote role with flexible...