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Referral Coordinator

Career Strategies Inc

  • Prior authorization submission:
    Prepare and submit prior authorization requests to insurance companies, including necessary medical documentation, diagnosis codes, and treatment plans.
  • Clinical review:
    Analyze medical records to determine if a requested service or medication aligns with medical necessity guidelines and insurance coverage.
  • Communication with providers:
    Contact healthcare providers to gather additional information or clarify details regarding requested services for prior authorization.
  • Follow-up with insurance companies:
    Monitor the status of pending prior authorization requests and follow up with insurance companies to obtain timely approvals.
  • Patient education:
    Explain the prior authorization process to patients, including potential delays and necessary documentation.
  • Documentation:
    Maintain accurate records of all prior authorization requests, including patient information, insurance details, and approval status.
  • Billing support:
    Collaborate with billing staff to identify and resolve potential billing issues related to prior authorizatio
  • Insurance verification:
    Accurately verify patient insurance information, including eligibility, benefits, and coverage details.
Vacancy posted 1 day ago
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