Revenue Integrity Specialist I
Baptist Health | |
United States, Kentucky, Lexington | |
Sep 20, 2024 | |
Job Description: Baptist Health is looking for a Revenue Integrity Specialist I to join our team in Lexington, KY Research denials or audits from all commercial and governmental payors. Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines. Recovery efforts include but are not limited to written letter, email, web site, and telephonic communication. Minimum Education, Training and Experience Required
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