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Case Management Representative - OLOL Discharge Billing
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- The Case Management Representative (CMR) coordinates the day-to-day operations of Utilization Management by providing all insurance companies with the information required to obtain approved days.
- Directing all denials and appeals to the appropriate person or team.
- Review, index, and/or respond appropriately to payer communication via OnBase.
- Serves as the liaison between various departments in the hospital, including HIM, Business Office, physicians' offices, and Access Services.
- Coordinates Medical Management Tracker, denial log, and TQ reports.
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