Coordinate with appropriate personnel, including Patient Relations, Nursing, and Physicians, to ensure all formalities agreed with insurance companies are followed, minimizing objections and clarifications delay.
Monitor and follow up on prior e‑authorization for outpatient and inpatient services.
Take approval for prescriptions from outpatient clinics and send approval and follow‑up for e‑claim prescriptions.
Follow up for high‑cost approvals with insurance companies, physicians, and nursing team.
Update and document all insurance approval requests appropriately.
Communicate with patients, physicians, nursing, and pharmacy teams regarding the status of approvals in line with the process efficiently.
Follow up on approvals for satellite clinics and provide appropriate feedback.
Perform home‑delivery processing approvals on time.
Prepare home‑delivery medication for dispatch ...
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