1 administrative specialist jobs found

Overview About the Role The primary function of the Appeals Specialist is to support the Utilization Review (UR) Appeals process within the Department of Patient Accounts by providing follow-up and administrative assistance. This role involves entering, tracking, and analyzing appeal-related data, coordinating with external managed care organizations, physicians, and case managers, and assisting in the preparation of appeal documentation. The Appeals Specialist is also responsible for maintaining detailed logs and generating reports as needed. Responsibilities What You’ll Do Provides administrative support for the Utilization Review (UR) Appeals process within the Department of Patient Accounts Performs follow-up on appeal cases to ensure timely and accurate resolution Inputs, tracks, and analyzes appeal-related data for reporting and trending purposes Collaborates with external managed care organizations,...