Combines clinical, business and regulatory knowledge and skill to reduce financial risk and exposure caused by concurrent and retrospective denial of payments for services provided. Collaborates with Physicians, Care Managers, Discharge Planners, Hospital Billing Office and payers to appeal denials. Performs activities related to insuring a denial appeals process that includes measuring denial and appeal activity, monitoring for patterns and trends and escalating issues to Denial Task Force. FLSA:EXEMPT DUTIES AND RESPONSIBILITIES:
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