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Bill Review (RN)

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Pivotal Placement Services

2024-11-13 19:40:55

Job location Pittsburgh, Pennsylvania, United States

Job type: all

Job industry: Healthcare & Medical

Job description


This is a full-time permanent opportunity for a national managed care company, which allows a nurse leader for more growth opportunities. We are looking for highly skilled, self-motivated, registered nurses (RN) who can provide support to the quality control and bill reviews. This nurse will be responsible for itemized bill review, clinical outpatient and DRG review.



Requirements:



  • Must maintain a current RN licensure in the state of employment

  • Medical bill auditing

  • Acute care clinical nursing experience

  • Knowledge of worker's compensation claims process

  • Prospective, concurrent and retrospective utilization review

  • 3+ years hospital bill auditing experience



Benefits:



  • Competitive Salary

  • Health, dental, vision and life insurance

  • Paid time off, including vacation and sick time.

  • A 401K retirement plan.



Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer Focused Workforce Solutions include, Right-to-Hire Contract Staffing, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally. Pivotal Placement Services is an Equal Opportunity Employer.


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