Case Management Expert

3 days ago


San Francisco, California, United States University of California Full time
Key Responsibilities
  • Collaborate with admitting, patient financial services, physicians, nurses, case managers, and social workers to gather information for appeals.
  • Apply expertise in Medicare guidelines, including the two-midnight rule, NCDs, LCDs, Code 44, Part B rebilling, and the IP-only list.
  • Prioritize tasks effectively to meet demands of high-volume work environments.

This position requires a strong understanding of medical terminology and the ability to generate persuasive arguments to support services provided to patients against health plan denials.



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