Medical Appeals Specialist II, Med Plaza II, 8:00a-4:30p
UofL Health(2 months ago)
About this role
A Clinical Denials Specialist at UofL Health reviews patient clinical information and prepares clinical justification to support recovery of denied reimbursements. The role manages complex hospital accounts and collaborates with internal stakeholders and the Payor Relations and Contracting teams during audits and negotiations. It is a licensed clinical position within an integrated regional academic health system.
Required Skills
- Clinical Review
- Appeals Writing
- Prior Authorization
- Medical Coding
- Medical Terminology
- InterQual
- Milliman Guidelines
- Critical Thinking
- Communication
- Excel
Qualifications
- LPN
- RN
- OTR
- BSN
- Active Clinical License (Unrestricted)
- 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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