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Healthcare Office Administrator
2 months ago
Medication Management: Overseeing the electronic refill process. Ensuring patient records in the EHR system are accurate and up-to-date, including the addition of new medications as per physician directives.
Referral Coordination: Maintaining and updating referral requests as needed by specialists. Responsible for faxing the necessary referrals to the appropriate specialists for evaluations.
Prior Authorization Processing: Handling Prior Authorizations requested by pharmacies through CoverMyMeds, as well as those requested by specialists for insurance coverage verification.
Insurance Verification: Reviewing and confirming patient insurance details, ensuring credentialing forms are in place. If not, notifying the appropriate parties for necessary adjustments.
Payment Reconciliation: Reviewing incoming payments for physicians against rosters or EOBs to ensure accurate and timely payment for services rendered.