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cms low-code no-code google sheets g-suite📋 Description
- Obtain medical documentation via liaison between billing ops, customer experience, and clinic MR
- Understand CMS, state, and insurer medical policy and LCD/NCD criteria
- Navigate and extract data from EPIC EMR
- Review provider notes to identify data for medical necessity and summarize for insurers
- Knowledge of oncology and organ health terminology (chemo and immunotherapy)
- Collaborate with other departments to improve revenue cycle performance
🎯 Requirements
- At least 3 years of relevant healthcare admin, case management, oncology, billing or denials experience
- Bachelor's Degree (BS, LPN, RN, BSN, BSHA)
- Healthcare field study or equivalent experience (Clinical Case Managers)
🎁 Benefits
- Comprehensive medical, dental, vision, life and disability plans
- Free testing for employees and dependents; fertility care benefits
- Pregnancy and baby bonding leave
- 401k benefits
- Commuter benefits
- Generous employee referral program
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