North Mississippi Health Services
Tupelo, MS
Recordkeeping/Documentation/Reporting:
Manage the reconsideration and clinical appeals processing of documents from IQH, HMS, and other 3rd party payers
Documents and notifies insurance companies/3rd party payors of patient hospitalization to NMMC-Acute Care setting
Coordinates the retrieval and submission of patient medical information for maximum reimbursement
Records and communicates payor requests and authorizations
Retrieves requested medical information and submits to insurance company/3rd party payor for post-acute care coordination (i.e. UM Reviews including clinicals, Discharge Plan)
Maintains electronic Blue Cross/Blue Shield of Mississippi Census and other electronic census that may arise
Generates and provides chart audit reports to appropriate personnel
Reconciles discharge dispositions and other regulatory requirements as assigned
Manages, documents, and tracks Medicaid TAN requests...
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Administration & Operations
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