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Assure compliance with established onsite and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes. Assure compliance with established referral, pre-certification and authorization policies, procedures and processes by related Medical Services staff.
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Acentra seeks a Prior Authorization Reviewer to join our growing team. Enters data project-specific information into the prior authorization processing system. Enter data information into the prior authorization processing system and correct errors as needed.
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Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. May approve, deny, dismiss/early close, or withdraw prior authorizations of medication according to guidelines as defined by the client.
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We’re looking for a Revenue Cycle Authorization Specialist to join our team. You will be responsible for the oversite and operation of authorization sand will processes related to Medicaid in assigned state(s.
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Revenue Cycle Authorization Specialist. You will directly report to the Revenue Cycle Director of Billing and Collections. Revenue Cycle Authorization Specialist. Maintain compliance with MCD/MCR, State and Federal Regulations.
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