RN Denials & Revenue Integrity Specialist

CommonSpirit Health; Bremerton (WA); Sur place; USD 85 000 - 125 000; Plein temps

Résumé du poste

Virginia Mason Franciscan Health is seeking a Denials Management Professional to drive revenue cycle optimization by recovering rightful reimbursements and improving financial stability. The role requires analyzing denied claims, identifying root causes, and appealing rejections while collaborating across departments to implement corrective actions in submissions.

The candidate will demonstrate strong analytical and communication skills, paired with a detail-oriented approach to support revenue

Qualifications

• Graduation from an accredited school of nursing and three years of recent clinical work in a hospital setting within the past five years.
• Registered Nurse: WA license, upon hire.

Responsabilités

• Analyze denied claims to identify root causes and appeal rejections.
• Collaborate with physicians, care teams, and payers to implement corrective actions and improve future submissions.
• Coordinate multidisciplinary care planning and align with health system processes to optimize financial outcomes.
• Promote revenue integrity through rigorous review of claims and adherence to policies.

Connaissances

Analytical skills

Communication skills

Detail oriented

Formation

RN – Registered Nurse

Description du poste

Virginia Mason Franciscan Health is seeking a Denials Management Professional to drive revenue cycle optimization by recovering rightful reimbursements and improving financial stability. The role requires analyzing denied claims, identifying root causes, and appealing rejections while collaborating across departments to implement corrective actions in submissions.

The candidate will demonstrate strong analytical and communication skills, paired with a detail-oriented approach to support revenue