Broward Health is Broward County's largest healthcare services provider and is one of the nation's top public health systems. We are seeking a qualified professional to join our team.
FULL-TIME - MONDAY - FRIDAY - DAYS - WEEKEND REQUIREMENTS: AS NEEDED
Under the general supervision of the Director of Denials Improvement, the Broward Health Clinical Denial Supervisor performs work related to clinical denial management. The individual is responsible for managing client medical denials by conducting a comprehensive review of clinical documentation. The Clinical Denial Supervisor will oversee multiple members of the central Clinical Denials team and will also assist in writing compelling arguments based on the clinical documentation and the medical policies of the payor and submit the appeal in a timely manner. The Clinical Denial Supervisor will also handle audit-related / compliance responsibilities and other administrative duties as required.
The position reviews third party payer reimbursement denials based on the following: medical necessity, level of care, clinical documentation, etc. These reviews are intended to identify and rectify billing and documentation errors. Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report suspected or emerging trends related to payer denials to Revenue Cycle management.
- Completion of a nursing program from an accredited school of nursing
- Three years of related clinical as an RN, healthcare revenue cycle knowledge preferred.
- State of Florida Registered Nurse
- Experience with Medical and insurance terminology, CPT, ICD coding structures and billing forms preferred.
Thank you for your interest in Broward Health. Broward Health is an Equal Opportunity Employer and Affirmative Action procurer of goods and services.