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Revenue Cycle PreArrival Services Coord - RW at Monument Health - ApplyBlast

Revenue Cycle PreArrival Services Coord - RW

Monument Health

4 months ago

3.1 on Glassdoor

Rapid City, SD

Onsite

Full Time

Senior

0 applicants

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About this role

The Revenue Cycle PreArrival Services Coordinator reviews payer medical policies and assesses medical necessity to facilitate the scheduling of high-cost, financially cleared healthcare services. This role involves managing prior authorizations, financial clearance, and appointment scheduling while guiding providers and patients to optimize reimbursements and reduce organizational financial risk.

Responsibilities

Review payer medical policies to assess medical necessity for high-cost services
Coordinate and authorize referral requests to ensure timely patient access to care
Complete financial clearance reviews and insurance eligibility checks across various payers
Support peer-to-peer appeals and denials from a clinical perspective
Guide providers and patients on available options to resolve barriers to scheduling

Skills

About Monument Health

monument.health

Headquarters

Rapid City, South Dakota, United States

Company Size

1001-5000 employees

Founded

1973

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Monument Health is an integrated healthcare system in Western South Dakota and Eastern Wyoming. Our hospital serves greater Rapid City & the Black Hills.