PCR Specialist

Job Highlights The Pre-Claim Review (PCR) Specialist organizes, prepares, and submits pre-claim review requests to Palmetto GBA under the CMS Review Choice Demonstration (RCD) program in order to achieve claim affirmation for Medicare home health reimbursement. He/she functions under the direction, instruction, and supervision of the Pre-Bill Supervisor / Billing Manager and the Director of Nursing and/or appropriate supervisor. The PCR Specialist reviews each patient case prior to and after PC…