Senior Utilization Review Specialist
Prime Healthcare
Prime Healthcare is seeking a Utilization Review Technician to coordinate UR and appeals within denial management. This role collaborates with UR teams, Business Office, and Case Managers to ensure accurate data entry, timely communication, and proper tracking with insurance providers. You will support government reviews (RAC, MAC, CERT, ADR) and audits, serve as SME to remote counterparts, and assist with Release of Information and discharge coordination as needed. #J-18808-Ljbffr
Vacancy posted 6 hours ago
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