Conducts preauthorization, concurrent, and retrospective utilization management review and coordinates resource management, discharge planning, and post-acute care referrals for patients in a managed care environment.
Compensation
Pay Range is $90.58 to $126.81 / hour
Responsibilities
Conduct preauthorization, concurrent, and retrospective utilization management review
Confirm medical necessity and appropriate level of care
Coordinate utilization management, resource management, discharge planning, post-acute care referrals and care facilitation
Promote patient wellness and improved care outcomes
Promote quality patient care and positive patient experience
The ROPS Specialist II, Collections (Lab) is responsible for securing maximum reimbursement on all claims, managing collections, appeals, and ensuring compliance with payer terms and company policies.
Responsibilities
Initiates collection follow up of all denials with insurance payer
Researches, appeals, resolves claim rejections and underpayments with the payer
The ROPS Specialist II (Lab) is responsible for securing maximum reimbursement on all claims, managing collections, and ensuring compliance with payer terms and company policies.
Responsibilities
Initiates collection follow up of all denials with insurance payer to ensure proper reimbursement on claims
Researches, appeals, resolves claim rejections and underpayments with the payer based on payer terms
Responds to written payer communications with appropriate action in timely manner
The CSR is responsible for building rapport and trust with Clients by delivering exceptional service to them consistently, managing data entry, order processing, and customer interactions.
Compensation
For this position, the expected base pay range is – $26.00 . Actual compensation will be determined based on job-related factors such as relevant experience, skills, education, certifications, and geographic location, in accordance with applicable laws and company policy.
Responsibilities
Process and input all customer orders
Run and print shipments from WMS
Run stock reports to check product availability
Generate all related paperwork and necessary information for customer work orders
Check all orders for special requests
Requirements
High school diploma or general education degree (GED)
Nice to have: 1-3 years warehouse/logistics support experience
Nice to have: 2-3 years customer service experience
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