Proficient in integrated health information systems
The Clinical Financial Case Manager II is responsible for intervention and follow-up on accounts requiring clinical interpretation and analysis along the revenue cycle
Job Summary
The Clinical Financial Case Manager II is responsible for intervention and follow-up on accounts requiring clinical interpretation and analysis along the revenue cycle.
This role focuses on assuring precertification for outpatient procedures and managing rejected claims from payers.
Candidates must have a strong understanding of disease implications and treatment modalities to effectively support clinical staff.
Matching Summary
The Clinical Financial Case Manager II is responsible for intervention and follow-up on accounts requiring clinical interpretation and analysis along the revenue cycle.
Skills & Requirements
Must-have
Clinical knowledge in oncology
Experience with ICD-10 and CPT coding
Proficient in Integrated Health Information Systems
Nice-to-have
Strong communication skills
Ability to identify trends
Process improvement suggestions
Key Requirements
Associate or Bachelor Degree in Nursing preferred
Minimum of 3 years oncology experience
Knowledge of Medicare and commercial insurance reimbursement