Job Details

This position provides leadership, direction, and training for the financial services staff with regard to clinical and medical necessity insurance denials. Analyzes all correspondence regarding insurance denials for the revenue integrity auditor to take appropriate action. Prepares necessary documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as necessary. Maintains integrity of denials management database for accurate statistical and educational reporting. Assists in training of staff and external vendors as it relates to department operations. Serves as a liaison between Revenue Integrity and Financial Services departments. Recruiter: Suzie Mc. Guinn - ...@covhlth.com Responsibilities Develops and maintains departmental policies and procedures, implementing new policies and procedures relative to financial services and appeals processing. Analyzes denials and coordinates insurance appea...Insurance, Appeals, Revenue, Integrity, Senior, Auditor, Healthcare, Business Services