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Registered Nurse - Revenue Cycle Specialist
Location
New York
Posted
109 days ago
Salary
0
Seniority
Mid Level
Job Description
Registered Nurse - Revenue Cycle Specialist
GreenLife Healthcare Staffing
Claims Specialist - Registered Nurse (Revenue Cycle Specialist) - Remote (#R10257) - Location: Remote - Employment Type: Full-Time - Hourly Rate: $60.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Registered Nurse role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred. Why Join Us? - Competitive Compensation: $60.00/hour - Work Schedule: Full-time, Monday–Friday - Comprehensive Benefits: Comprehensive benefits package - Professional Growth: Bridge clinical nursing and revenue cycle management - Impactful Work: Ensure appropriate reimbursement through clinical documentation integrity Key Responsibilities: - Review medical records for medical necessity and coverage - Support appeals and pre-authorization processes - Interpret clinical data for revenue cycle teams - Liaise with payers to resolve disputes - Ensure documentation supports reimbursement Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.
Job Requirements
- Qualifications:
- Job qualifications & certifications:
- Active NY RN license
- Experience in billing, reimbursement, or utilization review
- Knowledge of payer policies and CMS guidelines
- Skills:
- Strong communication skills
- Ability to interpret policies and coverage criteria
- Analytical thinking
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