This site uses cookies. To find out more, see our Cookies Policy

Registered Nurse in Columbus, OH at DISYS

Date Posted: 11/16/2018

Job Snapshot

Job Description

TITLE                        -  RN Nurse

LOCATION               - Columbus, OH

CONTRACT              -  4 months

 

Job Description:

Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.

Required education:

•        RN, BSN, or LCSW Bachelor’s Degree in Nursing or Health Related Field

Required Experience:

•        Minimum three years clinical nursing experience.

•        Minimum one year Utilization Review and/or Medical Claims Review.

Required license, Certification, Association:

•        Active, unrestricted State Registered Nursing (RN) license in good standing.

Preferred education:

•        Master’s Degree in Nursing or Health Related Field

Preferred experience:

•        Nursing experience in Critical Care, Emergency Medicine, Medical Surgical, or Pediatrics.

•        Advanced Practice Nursing.

•        Billing and coding experience.

Preferred license, certification, association:

•        Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified

•        Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare certification.

Job Requirements

TITLE                        -  RN Nurse

LOCATION               - Columbus, OH

CONTRACT              -  4 months

 

Job Description:

Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.

Required education:

•        RN, BSN, or LCSW Bachelor’s Degree in Nursing or Health Related Field

Required Experience:

•        Minimum three years clinical nursing experience.

•        Minimum one year Utilization Review and/or Medical Claims Review.

Required license, Certification, Association:

•        Active, unrestricted State Registered Nursing (RN) license in good standing.

Preferred education:

•        Master’s Degree in Nursing or Health Related Field

Preferred experience:

•        Nursing experience in Critical Care, Emergency Medicine, Medical Surgical, or Pediatrics.

•        Advanced Practice Nursing.

•        Billing and coding experience.

Preferred license, certification, association:

•        Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified

•        Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare certification.

Digital Intelligence Systems, LLC. is an Equal Opportunity Employer, M/F/D/V. We do not discriminate against any employee or applicant because they inquired about, discussed, or disclosed compensation. Email recruitinghelp @ disys.com to contact us if you are an individual with a disability and require accommodation in the application process.

CHECK OUT OUR SIMILAR JOBS

  1. Nurse Jobs
  2. RN Jobs