Medical Authorization Specialist
4 weeks ago
Duties and Responsibilities:
- Authorization and Eligibility: Receives referral requests via various channels and enters new service request information into the authorization system, verifying eligibility and performing data entry according to Client's Health guidelines.
- Client and Provider Communication: Collects additional information from Client's Health members and providers to complete referral information, ensuring accurate and timely processing.
- Health Network Enrollment: Contacts health networks and Client's Health Customer Service regarding health network enrollments, facilitating seamless connections.
- Medical Case Management Support: Assists Medical Case Managers in gathering medical records, obtaining coding for diagnosis and procedures, and following up on phone calls as directed by the authorization nurse.
- Data Entry and Documentation: Documents all contacts and case information in the system using the standard charting format, ensuring accurate and up-to-date records.
- Administrative Support: Participates in a mission-driven culture of high-quality performance, providing administrative support to the team and collaborating to achieve departmental goals.
- Additional Responsibilities: Completes other projects and duties as assigned, contributing to the overall success of the department.
About Infojini
Infojini is a company dedicated to delivering high-quality services and solutions to its clients. As a Medical Authorization Assistant, you will be part of a team that is passionate about making a difference in the lives of others.
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