Population Specific Care No Direct Patient Care Denials Analysis & Resolution 1) Conducts root cause analysis of denials to determine where improvements within PFS or other departments may be necessary. 2) Collaborates with and provides support to PFS staff and management in appeals including, but not limited to, follow up with departments where letters of medical necessi

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Focuses on insurance accounts identified as high risk by the department. Notifies insurance company of s