Lake Charles Memorial Hospital
Lake Charles, LA
DESCRIPTION OF POSITION:
The Utilization Review Supervisor oversees day to day functions of the department and staff. The Manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient.
SUPERVISION: Reports directly to the Practice Manager
RESPONSIBILITIES AND DUTIES:
Responsible for reviewing patients' utilization records to identify patterns and to make recommendations for improvement
Responsible for reviewing patient utilization data, trends, and patterns to identify areas of deficiency and suggest strategies to improve patient care.
Responsible for reviewing patient's utilization records to ensure accurate and timely billing for services provided.
Responsible for conducting utilization reviews in accordance with policies and procedures.
Responsible for reviewing the daily held claims report and oversee correction of filing claims.
Oversee documentation of providers and other employees to ensure...
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Assistant & Support
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