Revenue Integrity RN
Remote · USFull-time$7.25/hrSeen 4 days agoSeen in employer's feed 4 days ago
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
Baptist Health is seeking a Revenue Integrity RN to perform payor compliance reviews and address medical necessity denials and pre-denial audits. The role obtains prior authorizations, works to recover revenue or prevent future losses, and serves as a clinical resource for Revenue Integrity staff. The posting describes the position as remote, with residency required in Kentucky or Indiana.
Skills & qualifications
Skills
Qualifications
Full job description
Experience Required
3 - 20 years
Minimum Education Required
Bachelor's Degree
Compensation
$7.25 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
Summary
Job Description:
Baptist Health is looking for a Revenue Integrity RN to join our team! This is a remote work position that requires residency in KY or IN
Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations / prior authorizations when required by payor. Reviews medical necessity denials from commercial and governmental payors, including pre-denial audits performed by RACs or similar Medicare and Medicaid programs. Responds to all denials or pre-denial audits with best possible efforts to recover outstanding revenue or prevent future revenue loss, meeting all appropriate payor or government timelines.Serves as clinical resource for other Revenue Integrity staff.
Qualifications:
Valid Kentucky licensure as a registered nurse.
Minimum three years healthcare experience (nursing, registration, patient accounting, financial services, managed care or a related field) or a bachelor's degree in a related field and two years healthcare experience.
Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal / underpayment resolution processes; and managed care contracts. Individuals working with government audits must have a keen understanding of all audit response requirements and timelines.
Case Management and/or Inpatient nursing experience strongly preferred.
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an Equal Employment Opportunity employer.
"EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to r ace, color, national origin, gender, s exual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing.
NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES
Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056."
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
R26109246
How this job compares
Set against the 58,312 open Registered Nurse jobs on Olive Jobs, counted November 4, 2026.
- Pay
- This posting$7.25/hr
- Kentucky median$7/hr682 hourly ranges
- US median$38–54/hr24,498 hourly ranges
This rate, $7.25/hr, is close to the Kentucky median midpoint ($7/hr) — in the middle half of Registered Nurse hourly ranges in Kentucky.
- Openings
- Olive Jobs lists 1,481 open Registered Nurse jobs in Kentucky and 58,312 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in Kentucky
- Aya Healthcare, Inc.526 open
- Baptist Health (this employer)277 open
- Norton Healthcare152 open
- Experience
- This posting asks for at least 2 years of experience; Registered Nurse postings that state a minimum ask for 1 year at the median (28,519 postings).
- Education
- 4,397 of the 58,312 open Registered Nurse jobs (8%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on November 4, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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