Medical Documentation Specialist
2 weeks ago
Medical Administration (Healthcare & Medical)
The individual in this position works under direction of Case Manager/UR RN or Social Worker with a primary role of supporting the daily operations of the UR team through the completion of various administrative duties. The individual's responsibilities include but are not limited to:
- Index, process, and document the incoming payer faxes containing authorization, requests for clinical information, denials, or other notices
- Follow up (by phone or by accessing Payer Portals) during the stay or post discharge on patient accounts requiring authorization for the stay and or days approved and document the information in the designated electronic system
- Obtain or confirm, as necessary, the payer fax numbers needed to submit clinical reviews
- Follow up during the stay and on or after discharge with the submission of clinical information using approved methods for the role (Transcription, DC summary)
- Escalate any potential disputes or denial of accounts to director of Case Management or designee
- Collaborate with other roles/departments
- Other duties as assigned
Qualifications:
- Has good command of the english language
- At least 2 years of experience performing prior authorization in healthcare
A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.
A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.
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