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Claims Specialist
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- Job Title – Prior Authorization Specialist
- I would also appreciate receiving an updated copy of your resume for our discussion.
- Support providers and UM reviewers with prior authorization requests for post-acute care services.
- Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests.
- May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning.
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