Scheduled Hours40 Position SummaryPosition performs various professional services to ensure medical, drug, and diagnostic testing authorizations are obtained in an efficient manner and that reimbursement is maximized through required interaction with third-party payers; leads the pre-certification
By joining Sedgwick, youll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with
Scheduled Hours40 Position SummaryAdvanced level specialization in complex pre-certifications as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department. May perform rechecks of insurance eligibility and verify authorization information for each
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
LocationST. LOUIS, MO 63110 Scheduled Hours40 Position SummaryResponsible for clinical program management, including program planning, implementation and evaluation. Promotes the delivery of care, based on the program philosophy. Responsible for oversight of daily operations related to