CGA (Complaints and Grievance Appeals)
Sep 2022 - Current (3 years 11 months)
It is the process where provider appealing for their Claim as Payments dispute issue and clinical denial which need to be handled PRT Team. Excel at analyzing damages, interpreting policies and negotiating payment solutions. Effectively manage multiple, high-priority projects and take pride in providing exemplary customer service. DASH, short for Direct Admit System for Hospitals, is a healthcare tool that streamlines and significantly improves the hospital direct admission process. The goal is to swiftly admit patients from an out-patient setting into a hospital. DASH was created out of the passion of two doctors determined to provide better healthcare to their patients and improve communication between outpatient and in patient healthcare