Job Summary Utilization review specialist works to improve patient care through effective utilization and monitoring... connection and access to EMR and Allscripts Expectation: Complete at least 30 reviews during the remote UR workday...
and resolving issues or errors. Reviews claim denials pertaining to coding and medical necessity issues and collaborates with key.... REQUIRED CERTIFICATION: Certified Professional Coder (CPC) and or Certified Coding Specialist (CCS) through an accredited certification...
, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work.... Assists Specialist, Coordinator, Supervisor and/or Manager with departmental processes and/or special projects. Assist...
, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work.... Assists Specialist, Coordinator, Supervisor and/or Manager with departmental processes and/or special projects. Assist...
with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS. Responds to HCP... changes, claim denials, underpayments, etc.) and engages payer team appropriately when patient access may be jeopardized...
Type (if applicable): Minimum Pay Range: $31.58 - $39.47 Job Description: *** Remote/Local Position - Must be located within 60..., Charge Description Master (CDM), Denials Management, Charge Integrity, Financial Analysis Associate's/Technical Degree...
on matters related to CDI. This position is considered a hybrid position requiring some on-site and some remote work...) downgrade accounts for clinical validation and works with the denials team for appeals. Monitors clinical quality measures...