UR Specialist (LPN)

Employer
Tower Health
Location
West Reading, PA
Salary
Competitive
Posted
Nov 11, 2019
Closes
Nov 15, 2019
Contract Type
Permanent
Hours
Full Time
Responsibilities

The Utilization Review Specialist is responsible handling all denials of payment and facilitating appropriate appeals. This position also obtains the Medical

Assistance authorizations and does some chart auditing in response to need. Additionally this position does 1-2 day Medicare audits, quartlerly Medical

Assistance stats, Heart Failure stats, and assists the business office with cases not approved for payment.

Qualifications

EDUCATION REQUIREMENTS

High School Diploma or GED

CERTIFICATION AND LICENSURE REQUIREMENTS

PA Practical Nurse License

REQUIRED SKILLS

Excellent Communications Skills

Excellent Interpersonal Skills

General Clerical Skills

Microsoft Excel

Microsoft Word

Organizational skills

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