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Financial Clearance Specialist III

Company

ICONMA, LLC

Location

United States, United States

Type

Full-time

Our Client, a Cancer Center company, is looking for a Financial Clearance Specialist III for their Irwindale, CA location. Responsibilities:

+ Referral Coordination:

+ Identifies insurance companies requiring prior authorization for services and obtains authorization.

+ Coordinates authorizations for procedures and testing requested by providers for their managed care patient.

+ Reviews charts on outpatients and reports to third party payors.

+ Retrieves chemo/surgery orders from chart, and requesting authorization through the insurance companies.

+ Prepares all forms required by third party payor for treatment authorization requests.

+ Work on all pending utilization review patients, and achieve authorization for the following day.

+ Getting emergent authorizations from walk-in patients.

+ Verifying with the insurance companies and documents what needs to be pre-certified.

+ Ed...

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