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SolutionHealth
Overview
The specialist evaluates medical acuity to ensure appropriate level of care orders and documentation to facilitate insurance coverage and prevent denials. They also review appeal options for medical necessity denials and ensure compliance with CMS and commercial insurance guidelines.
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Compensation
Salary not listed
Posted
25 days ago
Pain Control of Texas PLLC
This role manages insurance denials and payer disputes from identification through resolution, focusing on ensuring accurate reimbursement for services rendered. Key duties include reviewing, analyzing, and resolving claim denials, and preparing and submitting first-level and escalated appeals to various payers.
3 months ago
