Telecommute Revenue Cycle Clinician in Frisco

Job ID: Available for Members

Location: Texas

Compensation: To Be Discussed

Posted: Monday, February 12, 2018

Job Category: Financial, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Onsite Required, Some Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare company is filling a position for a Telecommute Revenue Cycle Clinician in Frisco.

Individual must be able to fulfill the following responsibilities:

  • Perform retrospective medical necessity reviews to determine appellate potential of clinical disputes
  • Construct and document a succinct and fact-based clinical case to support appeal
  • Assist Law Department with any medical necessity reviews as capacity allows

Applicants must meet the following qualifications:

  • Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites
  • Minimum of 5 years recent acute care experience with the last 2 years in a facility environment
  • Must possess a valid nursing license (Registered or Practical/Vocational)
  • Minimum of 2 years UR/Case Management experience within the last 2 years