Receive requests for prior authorizations using the Scheduling Module of the ElectronicHealth Record (EHR) and/or via phone or fax and ensure that they are closely monitored.
Process referrals and submit medical records to insurance carriers to expedite prior authorization processes.
Review the patient's medical history and insurance coverage for approval.
Manage correspondence with insurance companies, physicians, specialists, and patients as needed, including documenting in the EHR as appropriate.
Assist with the necessary documentation to expedite approvals and ensure that appropriate follow-up is performed.
Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
Follow team and/or client's proper procedures, policies, and methodologies as instructed.
Performs other relate...
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