Category Management Advisor

Aya Healthcare

Provider Advisor

The Provider Advisor will provide clinical expertise to support utilization management and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical reviews, consulting with Physicians on patient status and resource use, collaborating with care management and health information management to improve documentation and coding, and acting as a liaison with third-party payers for appeals and authorizations. The goal is to ensure accurate reimbursement, efficient use of hospital services, adherence to regulations, and ultimately better patient care and outcomes.

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Vacancy posted 11 hours ago

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