Job Summary: Assumes responsibility for managing inpatient denials for all payers related to medical necessity and clinical... of utilizatio n review and denial management. Other duties as assigned. EXPERIENCE DESCRIPTION: A minimum of 5 years of acute...
, and issues related to denials and Revenue Recovery including but not limited to, Government and Insurance Payer reimbursement... regulations, clinical practices, utilization management, process improvement and health care industry trends via literature...