Care Management Payor Specialist
Annapolisonsitemid
via Greenhouse
About this role
Position Objective:
Facilitates the exchange of clinical information and authorization between the hospital and the third party payors, providing direct support to the utilization review process.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Reviews each Case Managers daily work list to identify the clinical reviews due to the payor that day. Reports trends in Case Managers failing to provide timely reviews to Care Management leadership.
Communicates medical record clinical information telephonically, written via fax, or electronically to payors to obtain authorization for admission, continued stay or levels of care, and documents in medical record.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Annapolis. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included