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Healthcare Office Administrator
2 months ago
Medication Management: Oversee the electronic refill process, ensuring that patient records in the EHR system are accurately updated with current medication information. This includes adding new prescriptions as directed by the physician.
Referral Coordination: Maintain and manage referral requests from specialists, ensuring timely faxing of necessary documents to the appropriate specialists for patient evaluations.
Prior Authorization Processing: Handle prior authorization requests from pharmacies through CoverMyMeds, as well as those required by specialists for insurance coverage.
Insurance Verification: Regularly review and confirm patient insurance details, ensuring that credentialing forms are in place. If discrepancies arise, communicate necessary changes to the appropriate parties.
Payment Reconciliation: Review incoming payments for physicians, cross-referencing with rosters or EOBs to guarantee accurate compensation for services rendered.