A healthcare revenue cycle management company has an open position for a Telecommute Physician Advisory Services Appeals Author. Candidates will be responsible for the following: Conducting detailed review of patient medical records and payer denial information.
Collaborating with Primary Care Physicians and other ancillary healthcare providers. Collecting member medical information from a variety of sources. Qualifications Include: Attend and participate required meetings, including staff meetings, internal Rounds, and other in-services.
Interacting professionally with patient/family/physicians. Completing daily documentation, required letters, and referrals in a timely manner. Applicants must meet the following qualifications: Must be willing to train onsite in Northridge, M-F 830am-530pm.
Providing care coordination/case management through physician practices for members. Conducting telephonic member needs assessments according to state and national guidelines. Reviewing member charts prior to a physician appointment and create alerts/triggers to highlight Star opportunities.
Work with the physicians and therapists to set up medical assessments. Help coordinate the individual's treatment program. Work with employers on modifications to job duties based on medical limitations. Qualifications Include: Valid driver's license required.