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Denial Resource Center RN Job

Company: Baylor Scott White Health
Location: Dallas
Posted on: April 24, 2018

Job Description:

The Denial Resource Center (DRC) RN is responsible for Baylor Scott & White Health denial management functions. The DRC is responsible for receiving claim denials and appealing to payors to promote appropriate reimbursement from payors to BSWH hospitals. The DRC RN manages denials from all payors, including denials for lack of medical necessity, pre-cert, re-cert, billing, coding, and patient status.The ideal Denial Resource Center candidate shows a demonstrated commitment to effective customer service delivery, integrity, and the ability to work productively as a member of a team or work group.* Location/Facility - Baylor, Scott & White Health - Dallas, TXFor more information on the facility, please click our Locations link.* Specialty/Department/Practice - Denial Resource Center * Shift/Schedule - Full Time, Days * Benefits - Our competitive benefits package includes*:* Immediate eligibility for health and welfare benefits* 401(k) savings plan with dollar-for-dollar match up to 5%* Tuition Reimbursement* PTO accrual beginning Day 1*Note: Benefits may vary based upon position type and/or level.Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation's exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it's accepting a calling!Qualifications* 1 year of experience* Associate's degree* Registered Nurse* Experience with managing denials from all payors, including denials for lack of medical necessity, pre-cert, re-cert, billing, coding, and patient status preferredDesired qualifications: * ICD-10, Professional Billing/Coding, AP-DRG coding

Keywords: Baylor Scott White Health, Dallas, Denial Resource Center RN Job, Healthcare, Dallas, Texas

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