Clinical Information Review Analyst

Evaluates and intervenes concurrently and retrospectively for level of care, coverage issues, payor outliers, split billing, disallowed charges, patient inquires, denial and compliance issues. Initiates actions and participates with Patient Financial Services payor teams regarding resolution of denial management issues or compliance issues. Works with authorized payors or reviewers to resolve denial management issues, reconsiderations and appeals. Tracks, monitors and documents denial causes and resolutions with appropriate management staff. Acts as a knowledge resource for billing staff members. Identifies educational needs regarding payor issues, functions as preceptor, and provides appropriate education. Builds and continually updates a knowledge of Third Party Payor requirements for covered treatment protocols by diagnosis, approval requirements for procedures, and coverage norms.

According to JobzMall, the average salary range for a Clinical Information Review Analyst in 1801 N 16th St, Phoenix, AZ 85006, USA is $50,000 to $70,000 per year. This range may be affected by factors such as the level of experience, education, and other qualifications the individual may possess.

Banner - University Medical Center Tucson, formerly University Medical Center and the University of Arizona Medical Center, is a private, non-profit, 649-bed acute-care hospital located on the campus of the University of Arizona in Tucson, Arizona.