Denial Appeals Utilization Review Clerk, Case Management – Baptist Hospital of Miami – Miami, FL

Baptist Health South Florida is once again one of the 2020 Fortune 100 Best Companies to Work For! This is the 20th time Baptist Health has been recognized on the list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News & World Reports in its 2020-2021 Best Hospitals and have been honored as one of PEOPLE’s 2020 50 Companies that Care by PEOPLE magazine and Great Place to Work.

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and proton therapy center.

Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!

This position exists to support the Denials and Appeals RN in processing denial and appeal notifications in a timely manner. Daily interaction with Patient Financial Services (PFS) and managed care payers involving the processing of denial notifications. Compiling and faxing daily payer census. Creating and maintaining reports.

Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: Computer experience in Microsoft Office (Word, Excel, PowerPoint, Outlook). Knowledge of Midas application module.

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Source: Indeed.com
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