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PHRN Care Management Associate Cebu

Company

Omega Healthcare Management Services, Inc.

Location

pasig, Philippines

Type

Full-time

On-site - Pasig 1-3 Yrs Exp Bachelor Full-time

Job Description

Employee Recognition and Rewards

Performance Bonus, Incentives

Government Mandated Benefits

Insurance Health & Wellness

HMO

Professional Development

Professional Development

Maternity & Paternity Leave, Sick Leave

Responsibilities

  • Prioritize incoming authorization and referral requests according to queue urgency
  • Review patient’s clinical and chart documentation related to the service submitted by the provider’s office
  • Obtain and/or follow up on authorization and referral requests from the patient’s payer/s through any of the following methods—depending on the payer’s policy:
  • Perform outbound calls to payer’s authorization department
  • Access payer’s authorization online portal
  • Submit faxes to payer’s authorization department
  • Respond to payer’s clinical ques...

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