Sinai Chicago
Chicago, IL, USA
UTILIZITION MGMT ANALYST TEAM LEAD Position Purpose:
Under the direction of department supervisor, the position provides constant monitoring of inpatient and observation claims to ensure accurate and timely billing submission to decrease the bill holds related to authorizations. This includes but is not limited to, clinical submission to the payers, securing an authorization for the visit type, continuous follow up with payers for authorizations and/or additional information, and basic reporting for payer specific behaviors. This also requires the Claim Coordinator to monitor payer trends and use Microsoft office to track and report out data for Senior Management.
This position reports to the Department Manager and provides supervision to the Utilization Management Analysts.
Key Job Activities:
Daily reviews of assigned inpatient/observation work queues to ensure the identified payer source has been notified and initial clinical has been submitted.
Ensures...