Insurance Inspector - Commercial & Residential
Under the supervision of the Director of Case Management, the Case Management Data Analyst is responsible for supporting the Case Management Director, Physician Advisor, and all aspects of the Case Management department as a whole. Duties include creating, analyzing, and maintaining database information, supporting overall operations, and coordinating and preparing reports for presentation to various committees and monthly meetings. The Case Management Data Analyst must exhibit excellent communication, organizational, prioritizing, planning and technical skills. This position interfaces with all hospital personnel, physicians, community partners, and payers.
Required Skills
Required Experience
A. Work Experience:
Two years of experience working in a hospital environment with knowledge of case management, clinical documentation, chart review, utilization management, managed care, and/or claims denials and appeals process.
B. License/Registration/Certification:
None
C. Education and Training:
Bachelor’s degree in Business Administration, Healthcare Management or related field required.