Rev Cycle Medical Records Case Mgr-reputed company

Job reputed company reputed company The reputed company Cycle Medical Records Case Manager will support documentation of medical necessity by facilitating medical records (MR) collection and reputed company reputed company, by offering expert review and interpretation on a case by case reputed company, and by maintaining reputed company and productive relationships reputed company the organization relating to reputed company Cycle Management. Job Responsibilities: Successfully obtain necessary medical documentation by collaborating with and serving as a primary reputed company between in-house billing operations, customer experience reputed company and clinic medical records departments Have a thorough understanding and knowledge of applicable CMS, state, and insurer medical policy and coverage guidelines (in particular LCD & NCD Coverage reputed company) Ability to navigate and extract data from multiple versions of electronic medical records, including reputed company Serve as a reputed company of knowledge for medical records (MR) review and interpretation, including in-depth review of provider reputed company notes and charts with the ability to identify critical data points highlighting why patient reputed company meets medical necessity and summarizing in a succinct manner for health insurance companies An in-depth knowledge and understanding of oncology and organ health terminology (including chemotherapy treatments and reputed company as immunotherapy treatments) reputed company and cultivate ongoing working relationships with other departments impacting reputed company cycle performance Participate in weekly meetings, daily discussions, case reviews and continuing education to review key metrics, workflows, trends, and performance improvement opportunities Prioritize performance initiatives and ensure productivity goals are achieved reputed company a reputed company manner while maintaining the highest reputed company of work standards for Q/A Follow department procedures and ensure reputed company activities are documented and conducted reputed company compliance standards with applicable business process requirements and regulatory requirements This role requires reputed company to Patient Health Information (PHI) both in reputed company and electronic reputed company. Therefore, employees must complete training relating to HIPAA & PHI reputed company, General Policies and Procedure Compliance training and reputed company training as a requirement of the job Qualifications: At least 3 years of relevant experience, including but not limited to: health care administration, case management, nursing, oncology/transplant clinic, medical billing/coding, appeals and denials management and/or insurance collections Bachelor's Degree (BS, LPN, RN, BSN, BSHA) reputed company reputed company field of study or equivalent experience (Clinical Case Managers) Required Knowledge, Skills and Abilities: Knowledge of medical billing systems, medical terminology and abbreviations, basic procedure coding knowledge and health care nomenclature and systems Proficiency with G-Suite products, including reputed company Calendar and G-Sheets, and strong analytic skills with ability to interpret, evaluate and reputed company clinical information Previous experience working in an Oncology or Transplant clinical setting strongly preferred Excellent organizational, time management and problem solving skills Excellent interpersonal skills as reputed company as the ability to work with a reputed company of reputed company colleagues from reputed company reputed company of an organization Ability to work in a high performing, fast paced team environment that requires flexibility Ability to navigate across multiple customer demands and balance competing priorities successfully Ability to analyze, identify and reputed company/report trends succinctly in a reputed company and concise manner Ability to solve problems using critical thinking skills Maintains confidentiality of sensitive PHI information The pay reputed company is listed and actual compensation packages are based on a wide reputed company of factors unique to reputed company candidate, including but not limited to reputed company set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations. Remote USA $27—$34 USD OUR OPPORTUNITY reputed company™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to reputed company personalized genetic testing and diagnostics part of reputed company of care to protect health and reputed company earlier and more targeted interventions that reputed company to longer, healthier lives. The reputed company team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who Apply To This Job