Medical Appeals Specialist II, Med Plaza II, 8:00a-4:30p
UofL Health(1 month ago)
About this role
This position focuses on recovering denied reimbursement for hospital services by reviewing clinical information and preparing compelling clinical rationale for appeals. The role involves identifying and preventing clinical denials related to medical necessity and authorizations while managing complex patient accounts and collaborating with internal stakeholders and payor relations.
Required Skills
- Medical Review
- Denial Appeals
- Clinical Documentation
- Medical Necessity
- InterQual
- Milliman
- Critical Thinking
- Written Communication
- MS Excel
- Authorization
Qualifications
- LPN
- RN
- OTR
- BSN
- Active Clinical License
- CCM
- CPUM
About UofL Health
uoflhealth.orgUofL Health is a not-for-profit 501(c)(3) fully integrated regional academic health system with nine hospitals, four medical centers, more than 250 physician practice locations, and more than 1,200 providers.
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