Senior Utilization Review Specialist

Prime Healthcare

Prime Healthcare is seeking a Utilization Review Technician to coordinate UR and appeals as part of denial management. You will liaise with UR techs, handle calls, data entry, mailing/faxing appeals, and track authorizations with insurers and health plans. You will support government audits (RAC, MAC, CERT, ADR, QIO) and assist with Release of Information requests and coordination with Case Managers. Strong HIPAA knowledge is preferred. #J-18808-Ljbffr

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Vacancy posted 53 minutes ago

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