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Summary - About Us
- CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
- Named one of Modern Healthcare s Best Places to work five times
- Named one of America s Greatest Workplaces by Newsweek in 2024.
- Recognized as a Greatest Workplace for Women in both 2023 and 2024.
- Listed as one of the Greatest Workplaces for Diversity in 2024.
- Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.
- Ranked among the Best Employers by State for Missouri.
- Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.
- Benefits
- Medical, Vision, Dental, Retirement Plan with employer match, and many more.
- For a comprehensive list of benefits, please click here: Benefits CoxHealth
- Job Summary
- Under the direction of the Assistant Director of QA, the Nurse Denials Coordinator collaborates with physicians and physician s offices, as well as other departments, to support medical necessity and ultimately the reduction of denials. The RN collaborates with a variety of insurance providers in obtaining required prior authorizations to ensure appropriate reimbursement. This position will maintain regular communication with Clinic Managers and clinic office staff regarding identified discrepancies in insurance eligibility information, as well as reviewing denied pre-authorization requests. The Nurse Denials Coordinator will serve as a clinical resource for the Patient Access department and provide support during appeals and Peer-to-Peers. The RN will review denial reports and determines patterns with recommendation for best course of action and will work in conjunction with all Revenue Cycle partners to prevent authorization denials.
- Job Requirements
- Education
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- Required: Graduate of an approved nursing program
- Preferred: Bachelor s Degree in Nursing (BSN)
- Experience
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- Required: 5 years of clinical nursing experience
- Preferred: Experience in one of the following: Specialty Physician's Office, Pre-Admissions, Utilization Review, Case Management.
- Preferred: 2 years of surgical nursing experience
- Skills
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- Excellent communication (verbal and written) skills with attention to detail.
- Willingness to learn
- Strong analytical and interpretive skills
- Adaptable and Proactive
- Excellent interpersonal skills
- Able to work independently and collaboratively with all stakeholders
- Excellent computer skills (Cerner Powerchart, Revenue Cycle, Soarian, etc)
- Licensure/Certification/Registration
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- Required: Current MO RN license
Date Posted: 03 April 2025
Job Expired - Click here to search for similar jobs