Director of Appeals and Payer Relations

Medical/Healthcare Mt. Laurel, New Jersey


Description

JD is being finalized....

Main function is to manage all appeals: Peer-to-Peer reviews for active patients in the facility, Expedited Appeals, and Appeals post-discharge for Authorization of Care and Claims Resolution.

Reports to Chief Clinical Officer, Lori Ryland

Cross-trained to support the UM team in active UM case reviews

Based in the Mount Laurel office

We are an Equal Opportunity Employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability or veteran status.