(LPN) Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Pensacola, FL.)

We are ProHealth Home Health and Hospice, and we are looking to grow our team by adding a Clinical Referral Reviewer. This strong LPN will support the region with organizing, reviewing, and submitting records for pre-claim review (PCR) for Review Choice Demonstration (RCD) to ensure affirmation. The Pre-Claim Review Coordinator will review all Medicare episodes in assigned RCD state(s) to ensure compliance with regulations and verify necessary components are in place for affirmation and billing. The ProHealth mission is to provide high-quality, patient-centered care that enables our patients to live independently in the comfort of our homes. We have been providing award-winning patient-centered care for the past 57 years.