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Baptist
Overview
The specialist reviews clinical information and supporting documentation for outpatient or Part B services to determine the appropriate appeal action, focusing on optimizing reimbursement. Responsibilities include evaluating communications, preparing appeal responses, and compiling/presenting clinical and financial information to improve performance.
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Compensation
Salary not listed
Posted
2 months ago
CHI Saint Joseph Health System
This role involves receiving, processing, facilitating, and documenting all payer communications, supporting denial mitigation by ensuring timely documentation submission and following up on accounts lacking authorization. The assistant also supports the Utilization Management Hub by identifying trends and opportunities for process improvement and reporting them to leadership.
