Maya opens her laptop at 7:30 a.m.
Maya Okafor is a fictional operator. All denial percentages, dollar figures, throughput numbers, and team sizes are illustrative scenarios. See Important Notice on Examples and Numbers.
Maya Okafor is the Director of Revenue Cycle at a fourteen-hospital regional health system. The CEO needs denied claims down, prior auth turnaround compressed, and net collection rate up.
Her Researcher has pulled forty-six new denials, located payer policy, retrieved prior authorization history, and surfaced clinical documentation that establishes medical necessity.
Her Producer has drafted appeal letters with clinical narrative, medical necessity argument, regulatory citation, and supporting documentation. Her Coordinator has calendared physician review and updated the denial dashboard.
By 8:42 a.m. Maya has done what used to be Tuesday and Wednesday.