CLINICAL DENIALS MANAGEMENT AND AUDIT
Company: BrightSpring Health Services
Location: Louisville
Posted on: April 16, 2024
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Job Description:
CLINICAL DENIALS MANAGEMENT AND AUDIT
Job Locations
US-KY-LOUISVILLE
ID
Line of Business
BrightSpring Health Services
Position Type
Full-Time
Our Company
BrightSpring Health Services
Overview
Clinical Denials Management and Audit monitors, responds to, and
performs the clinical denial and appeal processes across Home
Health branches for all payor types striving to improve clinical
documentation and minimize lost revenue. They conduct analysis on
denials and appeals and identify trends that present process
improvement and revenue protection opportunities. Monitor state and
federal regulatory agencies to maintain up-to-date knowledge of
changing rules and regulations relating to payer requirements and
documentation. This position supports the development of standard
operating procedures and plans, training, and provides subject
matter expertise around clinical documentation and denials
management. They will also support detailed level reporting and
analytics, clinical appeals, root cause analysis, and address
identified trends in reasons for denials; work in partnership with
Home Health operations and customers to drive improvement in the
quality of services delivered to patients.
Responsibilities
Qualifications
About our Line of Business
BrightSpring Health Services is a leading provider of complementary
home and community-based pharmacy and health services for complex
populations in need of chronic and/or specialized care. Through the
company's pharmacy and provider services to seniors and specialty
(including behavioral) populations, we provide comprehensive care
and clinical services in 50 states to over 360,000 customers,
clients and patients daily. The company's services foster greater
patient and family satisfaction, improve outcomes and reduce health
care system costs, and are supported by industry-leading quality
outcomes. For more information, Follow us
onFacebook,TwitterandLinkedIn.
Keywords: BrightSpring Health Services, Louisville , CLINICAL DENIALS MANAGEMENT AND AUDIT, Accounting, Auditing , Louisville, Kentucky
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