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UR Specialist (LPN)

Company: Tower Health
Location: Reading
Posted on: September 9, 2020

Job Description:

Job Description:

Responsibilities The Utilization Review Specialist is responsible handling all denials of payment and facilitating appropriate appeals. This position also obtains the Medical Assistance authorizations and does some chart auditing in response to need. Additionally this position does 1-2 day Medicare audits, quartlerly Medical Assistance stats, Heart Failure stats, and assists the business office with cases not approve for payment. Qualifications EDUCATION REQUIREMENTS High School Diploma or GED CERTIFICATION AND LICENSURE REQUIREMENTS PA Practical Nurse License REQUIRED SKILLS Excellent Communications Skills Excellent Interpersonal Skills General Clerical Skills Microsoft Excel Microsoft Word Organizational skills

Keywords: Tower Health, Reading , UR Specialist (LPN), Healthcare , Reading, Pennsylvania

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