Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on findings and procedures within strict timelines established by regulatory requirements. Authors within final
Job Description Job Summary Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This
Physician Billing Compliance Analyst Under limited supervision, the Physician Billing Compliance Analyst will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville and the University of Florida Jacksonville Physicians Group. Analyst will also