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Prior Auth Coordinator
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- Check eligibility and benefits on all DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval.
- Maintain turnaround time compliance in all aspects of the Prior Authorization process.
- Request Network Management training or on site visit to provider offices needing reinforcement.
- Check eligibility and benefits on all items requiring a benefit check such as DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval.
- Maintain all reference material that is provided by the supervisor, manager or director.
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