Healthcare Professional - Garden City - beBeeDenialManagement

    beBeeDenialManagement
    beBeeDenialManagement Garden City

    1 week ago

    Employment

    Job title: Clinician, Denials Management

    Description

    Job Title: Healthcare Professional

    Maintain the integrity of information in each appeal produced by the firm. This includes reviewing a high volume of written appeals to ensure information is medically accurate and using protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

    Key responsibilities include researching payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in delays. Recommendations are made for workflow revisions to improve efficiency and reduce denials.


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