St. Luke's Health System Clinical Appeals Specialist 2 in Boise, Idaho
Under limited supervision, the Clinical Appeals Specialist 2, is responsible for managing client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted
QUALIFICATIONS: (Minimum qualifications required for the job)
-Education: Bachelor’s Degree or 4 years equivalent experience in lieu of Bachelor’s Degree.
-Experience: 3 years’ experience in a revenue cycle, health care delivery system, case management or utilization management.
-RN/Bachelor of Science in Nursing
If you’re looking for a place where you can grow in your personal life, in your career, and in your community, St. Luke’s may be just the place for you. Our employees enjoy many benefits, some of the most popular are tuition reimbursement, hospital retirement contributions, and hospital-supported on-going training and education.
About St. Luke’s
A strong, talented staff is at the heart of St. Luke’s Health System. We are Idaho’s largest private employer with more than 13,500 employees and a medical staff of more than 1,800 physicians and advanced practice clinicians. Our employees are dedicated to impacting the lives of those in our community while pursuing a life-changing career at St. Luke’s. Our staff is the reason for our outstanding reputation as both a quality employer and superior healthcare organization. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue in the same tradition of excellence.
With multiple locations in beautiful southern central Idaho and Oregon, our mild, four season climate means you can play outdoors year-round. Whether you prefer leisurely walks along the river or heart-pounding climbs up a sheer cliff - there is always something to do after work. An exciting mix of urban and outdoor life defines Idaho and Oregon culture, you can ski in the morning and watch a college sporting event at night. It is a great area to raise a family and forge lasting relationships. The cost of living is low, and quality of life is high.
#One of American’s Top 15 Health Systems - U.S.News & World Report, "America's Best Hospitals 2015-2016"
*St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
Category Revenue Cycle / Health Information Management
Department 8597-PAYOR REIMBURSEMENT MGMT
Position Type Regular Full-Time
Work Schedule DAY
Location Name Boise
Requisition ID 2019-23838