BJC Healthcare Nurse Auditor in Saint Louis, Missouri
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BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and mid-Missouri regions.BJC serves patients and their families in urban, suburban and rural communities through its13 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
Performs insurance billing audits and internal audits. Serves as a clinical consultant and resource to Patient Accounts and other hospital departments. Defend the hospital's financial interest from challenges by third party payers. Provide clinical and financial consultation to patient accounts and other hospital departments.
Responds to patient communication regarding charging and billing questions.
Performs detailed patient account audits in response to patient inquiries.
Ensures timeliness of all internal and external insurance billing audits.
Prepares price estimates on procedures for patients, physicians offices, etc.
- <2 years
- No Experience
Licenses & Certifications
Note: not all benefits apply to all openings
- Comprehensive medical, dental, life insurance, and disability plan options- Pension Plan/403(b) Plan- 401(k) plan with company match- Tuition Assistance- Health Care and Dependent Care Reimbursement Accounts-On-Site Fitness Center (depending on location)-Paid Time Off Program for vacation, holiday and sick time
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal Opportunity Employer