UR Thompson Health

Insurance

• Managing the submission of clinical documentation to insurance companies for hospital admissions
• Tracking insurance approvals and denials
• Coordinating appeals and peer to peer discussions between hospital providers and insurance companies
• Ensuring compliance with CMS regulations, NYS regulations and insurance company policies
• Acting as liaison to the business office and other hospital departments
• Supporting the Utilization Management team by completing administrative tasks and assisting with coverage of select tasks when other members of the team are on vacation or leave

Utilization Management Insurance Liaison