Reimbursement Specialist The Reimbursement Specialist is an entry level role responsible for early-stage follow-up on Workers Compensation claims. This includes verifying claim status, resubmitting original bills, initiating basic appeals, and updating documentation. While you will not handle
Job Title Transitional Care Coordinator Job Description Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services
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