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Remote Utilization Review Business Support Specialist

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Wed, Jan 20, 2021
Job Category: Healthcare
Weekly Hours: Full Time, Part Time
Employer Type: Employer
Career Level: Entry Level, Experienced
Education Level: Bachelors

Job Summary

A healthcare company is seeking a Remote Utilization Review Business Support Specialist.

Core Responsibilities Include:

  • Ensure accurate and complete documentation and information on all transfers and admissions
  • Implement and organize downgrades compliantly and per documentation
  • Investigate concerns for improper billing/coding practices and recommend corrective action

Skills and Requirements Include:

  • Bachelor's degree in health care related field
  • OR 3 years' experience in healthcare environment or related field with exposure to healthcare coding, billing, reimbursement, registration, insurance verification
  • 1 year experience with medical necessity appeals
  • Competency of inpatient and outpatient coding guidelines
  • Ability to ensure confidentiality of all patient accounts by following HIPAA guidelines

COMPLETE JOB DESCRIPTION

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