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Revenue Integrity Specialist I (Remote)
Nemours is seeking a Revenue Integrity Specialist I to join our Nemours Children's Health team in Wilmington, Delaware.This is a remote position.This position Revenue Integrity Specialist is responsible for ensuring 100% facility charge capture 100% accuracy within Account, Charge Entry, Router and Claim Edit WQ's according to Billing/Payor regulations. Secondary duties are to ensure "front end" UB-04 claims according to regulatory guidelines. Works with payors, charge capture departments, compliance, CBO, and other areas of the Revenue Cycle at AIDHC. Daily review of payor coverage updates and guidelines is essential. Reviews, monitors, and completes hospital claims for all elements of the UBO4 billing form according to CMS and specific payor guide


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