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Remote Uas Rn Jobs in Missouri (NOW HIRING)

Clinical Psychologist- Remote

Kansas City, MO · Remote

$67.30K - $83.40K/yr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Care Advocate Nurse

Jefferson City, MO · Remote

$61.05K - $98.33K/yr

This is a remote role. Essential Functions & Responsibilities Initiates and receives telephonic ... unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Telephonic Case Manager I

Saint Louis, MO · Remote

$62.31K - $93.12K/yr

This is a remote position, but all candidates must reside in one of the following states: NE, IA ... Current RN Licensure in state of operation 3 or more years of recent clinical experience ...

Patient Service Representative

Rolla, MO · Remote

$17.25 - $21.75/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

Patient Service Representative

Poplar Bluff, MO · Remote

$15.75 - $20/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

Is an experienced clinician or student, a registered nurse, or holds an associates degree or the ... This is a remote position. Live your best life possible while helping others live theirs Our ...

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Remote Uas Rn information

What is the difference between Remote Uas Rn vs Remote Uas Nurse?

AspectRemote Uas RnRemote Uas Nurse
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentRemote healthcare settings, telehealth platformsRemote healthcare settings, telehealth platforms
Industry UsageHealthcare, telemedicineHealthcare, telemedicine
Common Search IntentRemote Uas Rn vs Remote Uas NurseRemote Uas Nurse vs Remote Uas Rn

The roles of Remote Uas Rn and Remote Uas Nurse are similar, both requiring an RN license and working in remote healthcare environments. The main difference lies in terminology preferences; 'Remote Uas Rn' emphasizes the licensing aspect, while 'Remote Uas Nurse' is a more general term. Both positions focus on providing telehealth services, making them highly comparable in industry and work environment.

What job categories do people searching Remote Uas Rn jobs in Missouri look for? The top searched job categories for Remote Uas Rn jobs in Missouri are:
What cities in Missouri are hiring for Remote Uas Rn jobs? Cities in Missouri with the most Remote Uas Rn job openings:
Remote - PFS Denial Nurse Auditor

Remote - PFS Denial Nurse Auditor

Mosaic Life Care

Saint Joseph, MO • On-site, Remote

Full-time

Posted 22 days ago


Mosaic Life Care rating

6.4

Company rating: 6.4 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

627th of 864 rated healthcare providers


Job description

Job Description
The PFS Denials Auditor works under the supervision of the manager of PFS Denials. The PFS Denials Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The PFS Denials Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management.
Responsibilities
  • Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts.
  • Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings.
  • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
  • Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes.
  • Responds to all internal and external requests for information, data, and/or education specific to clinical and hospital Denial Management.
  • Collaborates with Revenue Cycle, Admissions, Coding, and other departments as needed to answer clinical questions specific to denial management. Seeks consultation from appropriate departments as required to expedite clinical review of potential denials.
  • Research industry best practices and recommends process improvements to leadership.
  • Participates in the review of workflow processes. Recommends and participates in the implementation of process improvements.
  • Recommends policies which support the direction of the Denials Management Team to improve and reduce denials.
  • Responsible for other miscellaneous duties assigned by PFS Leadership.

Education
  • Degree from an accredited school of practical nursing - Required

Work Experience
  • 5 Years - Experience in health care as a registered nurse, preferably in revenue cycle - Required
  • Excellent understanding of financial and health care strategies - Required

Licenses and Certifications
  • LPN - Licensed Practical Nurse - State Licensure and/or Compact State Licensure - Licensed Practical Nurse - Required

Travel Requirements
  • None

  • Qualifications
    Skills and Abilities
    Essential Technical/Motor Skills
    • Input data, type, manipulate small equipment, speak clearly, and answer telephone.

    Interpersonal Skills
    • Exceptional oral/written communication skills
    • Ability to independently research using critical thinking skills
    • Effectively resolve complex denials
    • Excellent organizational skills and attention to detail
    • Competence in Microsoft Office applications

    Essential Physical Requirements
    • Lifting, moving, reaching, bending, stooping, and climbing.

    Essential Mental Abilities
    • Analyze, interprets, calculates, manipulates, understands, follows rules, memorize, organize, assess, explain, speak in front of group.

    Essential Sensory Requirements
    • Visual skills, hearing

    Exposure to Hazards
    • Electrical output of personal computer, eye/neck strain.

    Other Skills and Abilities

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