Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within
Essential Duties and Responsibilities: - Research and resolve discrepancies with provider documents. - Review information keyed into the system to verify the accuracy of data. - Monitor data/image quality of scanned documents. - Follow established policies and procedures
- Partner with senior business leaders and executives to define and execute HR strategies that align with business goals, driving organizational performance and operational effectiveness. - Provide thought leadership on key HR initiatives, advising leadership on