Specialist performs all appeals for clinically related claim denials across Ensemble Health Partners. Job duties include... them to challenge the status quo, we know they will be the difference The Opportunity: Job Description The Denials...
Job Description: Job Overview: The prior authorization specialist is responsible for coordinating all aspects... information and seek timely clarification from pharmacist or physician as necessary Review Prior Authorization denials...
to resolve claim payment issues, to secure appropriate and timely reimbursement and response. Identifies and analyzes denials.... Ability to identify with specific reason underpayments, denials, and cause of payment delay. Works with management to identify, trend...
practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff... Coder (CPC) required - Certified Coding Specialist (CCS) and/or Certified Inpatient Coder (CIC) preferred - Registered...
them to challenge the status quo, we know they will be the difference The Opportunity: The Senior Specialist, Patient... requirements. The Senior Specialist will work within the policies and processes as they are being performed across the entire...