PREOP/PACU/PROCEDURAL REGISTERED NURSE

Responsibilities

• Provides oversight and leadership to a team of 8-10 employees.
• Maintains team performance objectives resulting in claim resolution and collected revenue.
• Makes sure the accounts receivable are managed by tracking, analyzing, and communicating with payers.
• Identifies and solves problems for team members related to payment delays.
• Identifies training needs for system education, industry updates, and changes in collections processes and protocols.
• Covers for team members who are out of the office.
• Analyzes and reports on revenue performance in key metric areas.
• Maintains awareness of cash flow improvement opportunities through monitoring collection processes.

Requirements

• Experience with DDE, Cerner, nThrive, AdvantX and Waystar is strongly recommended.
• At least 2 years of experience with intermediate to expert level understanding of hospital billing, either related to ASC’s, inpatient or outpatient hospitals.
• Knowledge of typical payer guidelines related to billing, both paper and electronic claims.
• Understanding of revenue cycle processes, their impact on A/R and cash results.
• Ability to extract and analyze data, provide recommendations, and insights to NSN leadership and clients.
• Leadership and project management skills, including the ability to lead and manage staff towards achieving goals.
• Understanding of system and business processes, as well as healthcare financial issues.
• Experience in examining and reengineering operations and procedures, identifying and implementing solutions.