Referral & Authorizations II

 Posted 15 days ago
     
0-2 years experience
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AI Summary

Process referrals from primary care providers to specialists, imaging, and procedures in a timely manner. Obtain prior authorizations from insurance companies while adhering to specific payer guidelines and standards.

Job Description Summary

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To process Referrals and Prior Authorizations

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How will you make an impact & Requirements

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To process referrals in a timely manner from PCP to Specialist/Imaging/Procedures. To obtain prior authorizations from insurance companies adhering to the payer guidelines and standards. Handling inbound calls from specialist, patients and insurance companies.

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