Revenue Cycle Precertification Nurse- LPN

Required - Licensed Practical Nurse (LPN) diploma.

Required - Current LPN license in the state of practice.

• Proficiency in using computers, software, and web-based applications.

• Effective verbal and written communication skills and ability to present information clearly and professionally.

• Excellent customer service skills and ability to gather and disseminate information with a diverse range of people, either in person or over the phone.

• Excellent interpersonal skills including and ability to work collaboratively with other departments and functional areas and handle high-pressure, difficult situations.

• Good organizational and time management skills and ability to work with minimal supervision.

• Excellent decision making, critical thinking, and analytical skills and ability to pay strong attention to detail.

• Proficiency in application of medical necessity criteria, standards of practice, and research regarding pre-certification guidelines.

• Ability to prioritize tasks and manage multiple tasks with efficiency and quality.

• Working knowledge of terminology associated with CPT and ICD-10 coding, Medicare guideline, HMO and PPO contracts and other insurance billing processes.

• Secures clinical documentation and performs pre-service medical necessity reviews to obtain prior authorizations.

• Maintains professional and technical knowledge and certifications.

• Ensures all regulatory requirements are met within department.

• Assists in the day-to-day operations of the department.

• Consistently supports the company and its business services goals and core values.

• Performs other duties as assigned.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users.  If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.