Clinical Services Coordinator

Medical Case Manager Job Overview This role plays a vital part in the healthcare system by coordinating patient care and ensuring seamless transitions between treatment stages. Patient Care Coordination Clinical Documentation Utilization Review Payer Communication Collaboration with Healthcare Teams About This Role In this position, you will be responsible for reviewing patient admissions and service requests to determine medical necessity and compliance with reimbursement policies. You will work closely with attending physicians, patients, and other healthcare teams to ensure accurate clinical documentation, effective communication, and high-quality patient care. Additionally, you will assist with coding, precertification, reimbursement, and claim denials/appeals. Key Responsibilities Review Admissions and Service Requests Assist with Coding and Precertification Communicate with Payers and Healthcare Teams Ensure Accurate Clinical Documentation Participate in Utilization and Peer Review Meetings Benefits This role offers a unique opportunity to make a meaningful impact on patient care and outcomes. If you are a motivated and detail-oriented professional with excellent communication skills, we encourage you to apply. Requirements Bachelor's Degree in Healthcare or Related Field 1+ Years of Experience in Medical Case Management or Similar Role Excellent Communication and Interpersonal Skills Able to Work Effectively in a Fast-Paced Environment We Offer A competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

Creado: Jue, 01 de Ene de 1970