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patients on their assigned unit, conduct InterQual® reviews for admission and continued stay per policy, report avoidable days and facilitate clinical reviews to third party payors. Ensures
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or potentially conflicting documentation and reports findings to appropriate party for action. Verifies patient information to identify documentation and/or report discrepancies and to ensure codes and other
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. Identifies incomplete documentation and seeks clarification from the responsible physician. Identifies misplaced or potentially conflicting documentation and reports findings to appropriate party for action
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to ensure access based on third party reimbursement criteria. Ensures that the appropriate appointment and registration information is documented at time of scheduling. Adheres to policies and procedures
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the patient/family in the development and implementation of plans. Facilitate care planning across an Interdisciplinary care continuum which includes interacting with consulting physicians, third party payer
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with leaders to identify professional development opportunities for staff and develops effective strategies and plans to address both skill building and career progression. Designs, develops, and
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for an RPA (Robotics Process Automation) Engineer 2. The RPA Engineer 2 designs agile, reliable, and scalable technology solutions to enhance business capabilities. The incumbent in this role partners with
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, HIPAA compliance, and third-party payor contracts. Develops and implements an inventory control system for supplies and materials required by the practice. Oversees employee, patient, and physician
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and seeks clarification from the responsible physician. Identifies misplaced or potentially conflicting documentation and reports findings to appropriate party for action. Verifies patient information
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negotiations with third party vendors, including directing the development of proposals. Benefits Department Operations 8. Leads benefit enrollment efforts, to include analysis and reporting on benefit