ASC Alpha / RCM manager / My Work
Start Shift Review

RCM manager

Where should I intervene to unblock teams?

Next-best action: Rebalance denials queue by re-allocating 15 Aetna denials to Specialist Ortiz.
Revenue at Risk
$1,250,000
Unassigned Queues
9 tasks
Team Throughput
84 outcomes/day
Priority ID Payer Specialty/Client Type Exposure Age Owner Status Evidence Next-Best Action Actions
urgent WO-TASK-ASC-CASE-003-appeal_deadline_risk Acc ASC Orthopedics Appeal $11,800.00 12 days Jasmine Brooks Human Action Required 3 files Denial specialist should validate deadline, evidence completeness, and appeal path immediately, for human review. Open
urgent WO-TASK-ASC-CASE-003-stale_followup Acc ASC Orthopedics AR Follow-Up $11,800.00 21 days Jasmine Brooks Human Action Required 3 files Assigned owner should validate follow-up history and refresh the next action plan for human review. Open
urgent WO-TASK-DEN-003 Acc ASC Orthopedics Authorization $11,800.00 21 days Elena Park Human Action Required 3 files Review whether an appeal packet or authorization correction packet can be assembled, for human review. Open
urgent WO-TASK-ASC-CASE-002-stale_followup Acc ASC Orthopedics AR Follow-Up $3,600.00 21 days Jasmine Brooks Human Action Required 3 files Assigned owner should validate follow-up history and refresh the next action plan for human review. Open
urgent WO-TASK-DEN-002 Acc ASC Orthopedics Authorization $3,600.00 21 days Elena Park Human Action Required 3 files Review whether an appeal packet or authorization correction packet can be assembled, for human review. Open
high WO-TASK-ASC-CASE-003-ar_120_plus Acc ASC Orthopedics Ar 120 Plus $11,800.00 21 days Daniel Ortiz Human Action Required 3 files Biller should validate aging details and prepare the next follow-up step for human review. Open
high WO-TASK-ASC-CASE-003-high_dollar_ar Acc ASC Orthopedics High Dollar Ar $11,800.00 21 days Daniel Ortiz Human Action Required 3 files Biller should validate claim status, prior touches, and follow-up packet before payer outreach, for human review. Open
high WO-TASK-ASC-CASE-002-appeal_deadline_risk Acc ASC Orthopedics Appeal $3,600.00 12 days Jasmine Brooks Human Action Required 3 files Denial specialist should validate deadline, evidence completeness, and appeal path immediately, for human review. Open
high WO-TASK-ASC-CASE-002-ar_120_plus Acc ASC Orthopedics Ar 120 Plus $3,600.00 21 days Daniel Ortiz Human Action Required 3 files Biller should validate aging details and prepare the next follow-up step for human review. Open