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Clinical Compliance Analyst · Deerfield, IL
American Imaging Management, Inc., (AIM, inc.), is the nation's leading provider of diagnostic imaging management services. Founded in 1989, AIM, Inc. is the oldest and largest company of its kind. AIM, Inc. partners with health care clients to manage the diagnostic imaging services provided to their members. Our goal is to improve the efficiency and quality of radiology delivery, thereby reducing overall utilization and cost. We offer a wide array of products and services that can be customized to meet each client's specific needs.
Our associates represent a wide variety of work experiences and educational backgrounds, and include medical professionals, experienced health care executives and managers, customer service representatives, claim processors, financial analyst and administrative staff. Our associates share a desire to work hard and enjoy a fast-paced, entrepreneurial environment. As part of the Clinical Operations team, you will be responsible for assessing clinical compliance with health plan medical policies and AIM Guidelines through denial file, approval file, provider appeal file and clinical audits.
Essential Responsibilities:
* Perform clinical monitoring of...
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