LPN - Clinical Auditing & Compliance

CareRite Centers, LLC; Ohio; On-site; USD 65,000 - 85,000; Full time

Job summary

CareRite Centers, LLC in Ohio is seeking a Full-Time Nurse to support our Clinical Auditing and Compliance satellite office. The role focuses on writing appeals, following up on audits and denials, and managing claims with attention to accuracy and timeliness.

You will develop tracking spreadsheets, train staff on claim management, and maintain professional communication with facilities. PDPM knowledge is a plus and can be learned on the job; onboarding includes diverse clerical tasks and

Qualifications

• Experience with appeals and denials management.
• Strong attention to detail and organization.
• Proficiency with medical charting software and claims processes.

Responsibilities

• Develops and maintains spreadsheets for tracking and follow up on claims.
• Appeal writing for managed care denials and audits.
• Attention to detail for thorough follow up and timely calls.
• Maintain files with complete documentation and records.
• Utilize computer skills and charting software for patient records
• File, mail, scan, and organize office documents proactively as needed
• Coordinate communications with facilities and staff on claim management
• Able to learn new clerical duties and support various tasks

Skills

Appeal writing

Claims tracking

Detail oriented

Communication skills

Office administration

PDPM knowledge

Job description

Full Time Nurse for our satellite office of Clinical Auditing and Compliance for a National Rehabilitation Company- with Benefits

General Purpose: Responsible for writing of and follow up on appeals, audits, denials, claim management, office tasks, etc.

Job Functions include but are not limited to:

• Develops and maintains spreadsheets for tracking and follow up on claims
• Appeal writing skills
• Attention to detail required for thorough follow up and timely calls as well as keeping files with details
• Detail oriented individual
• Dependable to be on time and report to manager daily with job requirements
• Ability to utilize computer skills
• Excellent Professional conduct required for all communication duties
• Good communication skills for calls and office assistance
• Able to follow through with job duties without prompting
• Willing to learn new skills and an array of job duties for various clerical needs
• Able to participate in communication with facilities and train staff on claim management
• Able to utilize computer software for all medical charting
• Able to file, mail, scan, and organize office files proactively as needed
• Knowledge of PDPM is a plus- can be taught on the job
• Cleaning and maintaining office space as needed
• Includes but not limited to the above duties delegated by staff