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Authorization & Referrals Specialist I Full Time
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Full-time
- Prior authorizations may include, but are not limited to surgical procedures, outpatient treatments, medications and diagnostic testing (i.e. ultrasounds, labs, radiology, IV therapy, referrals)
- Document referral in practice management system.
- Communicate with surgical coordinators regarding authorizations status or denials.
- Submit appeals in the event of denial of prior authorizations or denial of payment following procedures.
- Set up peer to peer calls with clinical providers and insurance companies.
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