May 28, 2022
With this position you would have the ability to work from home!! Deliverables/Principal Results Expected: Perform admission, continued stay and discharge reviews on all managed care clients. Maintain positive relationships with referral sources and insurance companies. Track admissions, continued stay and discharge PCPC requirements for county referrals. Maintain organized system of reporting to counselors when PCPCs are due and when review calls are to be made. Maintain current insurance eligibility information through EVS, Navinet, etc. Monitor Census for accuracy of funding. Attend clinical staffing to obtain information for client reviews. Maintain daily UR database accurately. Perform Act 106 reviews and follow up appeals. Track all county referrals for documentation of admission calls. Maintain and participate in chart reviews to ensure proper paperwork is in place. Work directly with Billing Department to reduce uncovered days of funding. Investigate cases with insurance and...
Pyramid Healthcare
Remote * (Allentown, PA, USA)