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    Itemization Review Nurse Supervisor - Dubai, United Arab Emirates - ClickJobs

    ClickJobs
    ClickJobs Dubai, United Arab Emirates

    5 days ago

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    Description

    JobDescription

    JobDescription

    The Itemization Review Supervisorwill maintain a positive team building approach with emphasis onreporting, leadership and professional communication with all CERISdepartments.

    ESSENTIAL FUNCTIONS& RESPONSIBILITIES:

    • Maintain all data and analyticsinformation to make critical decisions and accurateresults
    • Maintain all appeals from all clientsas required
    • Knowledge of and understanding alldepartmental policies and procedures as they relate to ItemizationReview
    • Advance knowledge of Client PaymentPolicy for reviews
    • Knowledge of Quality Controlprocesses as needed
    • Fully understands processof assigning files and assessing nurse's queuescontinually
    • Fully understands the priority ofall claims daily
    • Maintains monthly matrixreporting
    • Knowledge of CERiS systems and DataBase informatics
    • Maintain teams with minimumassistance from manager
    • Create a team bypromoting a positive workenvironment
    • Additional duties/responsibilitiesas assigned by manager
    • Comply with all safetyrules/regulations, in conjunction with the Injury and IllnessPrevention Program ("IIPP"), as well as,maintain HIPAA compliance

    KNOWLEDGE &SKILLS:

    • Advance organizational, strategic andcritical thinking skills
    • Effective andprofessional communication skills
    • Ability tohandle stressful situations and adaptaccordingly
    • Demonstrated outstandingleadership, problem solving, and analyticalskills
    • Ability to think and workindependently
    • Proficient in scheduling monthlyteam meetings with emphasis oneducation
    • Proficient in MedCheck, MedCheckSelect, CareMC, Tableau, UltiPro, Department Employee HandbookPolicy and Procedures, Microsoft Office Suite, Excel, Outlook, andSkype for Business

    EDUCATION &EXPERIENCE:

    • Must maintain current licensure as aRegistered Nurse in the state ofemployment
    • Must have a minimum of 5years' experience in the O.R., ICU, or E.R. as anR.N.
    • Must have a minimum of 3 years'experience in LIBR. Preferred but notmandatory
    • Must have 3 years or HospitalSupervisor/Manager experience
    • Associate Degreein Nursing or higher
    • Experience in medical billauditing, preferred but not mandatory
    • Knowledgeof ICD-10, DRG and coding required but notmandatory
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