Pentec Health

Manager

• Provide clinical expertise in management of IDPN and IPN therapies
• Manage internal aspects of therapy approval and authorization
• Assist with clinical aspects needed for reimbursement within the Revenue Cycle Management team
• Act as a clinical Subject Matter Resource for Renal Dietitians, Nurses, Nephrologists, Account Executives, field staff, and Revenue Cycle Management staff
• Participate in Quality Management reviews of current and proposed processes and improvements
• Assist in developing renal programs to increase the client base for IDPN/IPN and other Parenteral and Enteral Nutrition services
• Provide clinical assistance for patients within the territory, including routine evaluation and monitoring of patients requiring IDPN and IPN nutritional therapies
• Coordinate with CSR and AE staff to obtain monthly labs and payer-required documents for active patients
• Assist Account Executives by reviewing the queue
• Complete forms, documents, and letters/statements of medical necessity for renal centers, dialysis chains, or payors
• Escalate insurance denials with Insurance Coordinators and/or Billers/Collectors through telephone consultations or written appeal letters
• Organize or assist with CEU and Web-Ex CEU seminars
• Conduct live displays and educational sessions regarding IDPN/IPN and other nutritional therapies
• Perform other assigned duties and special projects

Explore Renal Clinical Case Manager at Pentec Health. Review requirements and application details.