• Regional Utilization Review Manager

    Prime Healthcare (Elgin, IL)
    …for UR process along with analysis, resolution, monitoring & reporting of clinical denials . + Facilitate peer-to-peer communication with payers and coordinate ... (UR) and the denial management (DM) process. + The Manager functions as an appeal/denial expert and takes an...current with emerging industry trends on utilization review and denials management in addition to maintaining and updating payor… more
    Prime Healthcare (01/31/25)
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