RN Clinical Auditor
A premier integrated system that is rated among the nation’s Top 10 Health Systems by Thomson Reuters, Mercy Health has six award-winning hospitals and more than 80 network locations throughout the Cincinnati area. We’d like to be your destination workplace for Total Career Wellness. It’s a concept that means offering exceptional programs for professional and personal growth and career development, as well as advancement potential.
We are currently seeking an experienced Registered Nurse to join the team at our Regional Offices located in Blue Ash. This position is responsible for generating denial re-considerations and appeals; maintaining records of current accounts; preparing/processing appeals/denials; and account assessment, strategy, plan and written communication as designated by the insurance company’s appeal process. Interface with physician offices and clinics as well as developing a positive relationship with third party payors is also necessary.
. Graduate of an accredited nursing program
. BSN preferred
. Current Ohio RN licensure
. 1-3 years of hospital nursing experience in various clinical areas
. Case management or medical managed care experience
Please apply online at: www.mercy.jobs EOE