Johns Hopkins Health System
Sr. Charge Audit Nurse
Johns Hopkins Health System, Baltimore, MD, United States
You Belong Here! Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care.
What Awaits You?
• Career growth and development
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package including Tuition Reimbursement
The Sr. Charge Audit Nurse performs activities to ensure appropriate financial remuneration for inpatient services from third party payers. The position provides a vital link between Patient Accounting, Utilization Management, and Insurance Companies. The individual will be responsible for tracking denied inpatient claims, work with the Appeals Specialist, the Office of Managed Care, payers, outside law firms, and other sources to overturn denials on appeal and be an integral part of the effort to obtain payment for services. Experienced in audits, claim reviews, denials and appeal writing.
Take a tour of our campus:
https://www.youtube.com/watch?v=KnNaPzR-AEE
Hours:
Full time (40 hours)
Day Shift, Weekdays
Location: Remote
Our organization is registered for remote work in the following states: MD, VA, DC, FL, PA, and DE. To be considered for a remote or hybrid position, relocation is required to one of the registered states if not currently residing in one.
Requirements:
Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes:
Important Notices:
***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening. Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols. Effective 6/1/23, employees at Johns Hopkins All Children's Hospital, its affiliate locations and Florida State Residents are not required to obtain the COVID-19 vaccine. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities. We encourage you to explore our current opportunities.
***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.
Salary Range: Minimum 39.94 per visit - Maximum 61.91 per visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!
Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
What Awaits You?
• Career growth and development
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package including Tuition Reimbursement
The Sr. Charge Audit Nurse performs activities to ensure appropriate financial remuneration for inpatient services from third party payers. The position provides a vital link between Patient Accounting, Utilization Management, and Insurance Companies. The individual will be responsible for tracking denied inpatient claims, work with the Appeals Specialist, the Office of Managed Care, payers, outside law firms, and other sources to overturn denials on appeal and be an integral part of the effort to obtain payment for services. Experienced in audits, claim reviews, denials and appeal writing.
Take a tour of our campus:
https://www.youtube.com/watch?v=KnNaPzR-AEE
Hours:
Full time (40 hours)
Day Shift, Weekdays
Location: Remote
Our organization is registered for remote work in the following states: MD, VA, DC, FL, PA, and DE. To be considered for a remote or hybrid position, relocation is required to one of the registered states if not currently residing in one.
Requirements:
- Baccalaureate degree, or associate degree, or diploma in nursing from an accredited School of Nursing.
- Registered Nurse licensed in the state of Maryland
- Requires detailed knowledge of the claims and settlement process and utilization management for MCO/HMO or other third-party payers.
- Five or more years related experience in health care, health insurance industry, healthcare billing, or Nursing experience in acute care setting.
- Demonstrated proficiency in developing and utilizing spreadsheets, graphics and word processing.
- A minimum of four years of experience in nursing in an acute care setting.
- A minimum of two years charge audit experience.
Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes:
- Full medical, dental, and vision plans,
- Retirement plans,
- Paid time off (PTO),
- Tuition reimbursement for you and your dependents,
- Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins
- Tell a friend and get paid! Ask about our Employee Referral Program Bonus!
- And more! Visit https://jhh.mybenefitsjhhs.com/
Important Notices:
***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening. Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols. Effective 6/1/23, employees at Johns Hopkins All Children's Hospital, its affiliate locations and Florida State Residents are not required to obtain the COVID-19 vaccine. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities. We encourage you to explore our current opportunities.
***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.
Salary Range: Minimum 39.94 per visit - Maximum 61.91 per visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!
Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.