Utilization Review Specialist: Denials & Audits
Prime Healthcare
St. Francis Medical Center in Los Angeles seeks an Utilization Review Technician to coordinate the utilization review and appeals process within denial management initiatives. You will manage calls, data entry and tracking with insurers, and collaborate with the Corporate/Facility Utilization review teams and Case Managers. The role supports Release of Information and discharge coordination, with focus on maintaining audit integrity across RAC, MAC, CERT, and related payer reviews. #J-18808-Ljbffr Prime Healthcare
Vacancy posted 4 days ago
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