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GENERAL SUMMARY:
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the ability to explain the documents to patients in our care. Monitors and records utilization activities of patients under the direction of Utilization Management. Ensures documentation is provided of insurance company requests or determinations. Collaborates in an interdisciplinary manner to optimize patient care, quality reimbursement and regulatory compliance.
PRINCIPAL JOB FUNCTIONS:
EDUCATION AND EXPERIENCE:
High school diploma or equivalent required. Licensure or certification in a field of medical or allied health area of study preferred. Minimum two (2) years clinical experience preferred.
OTHER CREDENTIALS / CERTIFICATIONS:
Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.