MAP Rejection Code Review & Revenue Recovery.
Review rejected tasks in MAP on a daily basis to verify that the correct rejection code was applied for each rejected task
Identify rejection code errors where the underlying enrollment, order, or claim remains actionable and can still be captured ? distinguishing miscoded rejections from true terminal rejections
Surface identified rejection code errors directly to the Director of Patient Advocacy with sufficient detail for Managers to take immediate corrective action
Prioritize findings with active recovery potential to minimize revenue leakage and enable advocates to re-engage eligible patients before program or prescription deadlines lapse
Track patterns in rejection code misuse over time to identify training gaps or systemic coding errors within the advocate team
Continuous Improvement Identification
Document and track quality findings to support identification of opportunities to improve patient advocacy workflows, tools, and services
Prepare audit finding reports and submit structured feedback to the Director of Patient Advocacy
Participate in calibration sessions to align audit standards with operational expectations
Buscamos para trabajar en relación de dependencia directa con una Importante Empresa Petrolera un/a Data & AI Specialist. La compañía, con fuerte presencia en Vaca Muerta y un importante proceso de crecimiento, viene impulsa...