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Medical Authorization Assistant
Infojini - Orange, California, United States, 92613 10 days ago
Duties & Responsibilities:• 85% - Medical Authorization Receives referral requests via fax, phone or electronically and enters new service request inf...
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Hybrid Proposal Writer/ Business Development Executive
Shuvel Digital - Fairfax, Virginia, United States, 22032 21 days ago
Established Legacy: Join a trusted name that stands as a beacon of technological innovation for the U.S. government.Quality & Expertise: Leverage ...
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META - New York, New York, us, 10261 20 days ago
Summary:We are looking for a Production Design lead to join the Messenger Design System team.Why should you join?You're passionate about design system...
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Production Designer - Messenger Design System
Meta Inc - Seattle, Washington, us, 98127 20 days ago
Summary:We are looking for a Production Design lead to join the Messenger Design System team.Why should you join?You're passionate about design system...
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Senior Art Director
VML - Kansas City, Missouri, United States, 64101 4 days ago
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Creative Director , Copy (Health)
Wunderman Thompson LLC dba VML - New York, New York, us, 10261 6 days ago
Who We Are:At VML, we are a beacon of innovation and growth in an ever-evolving world. Our heritage is built upon a century of combined expertise, whe...
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Creative Director , Copy (Health)
VML - New York, New York, us, 10261 21 days ago
Who We Are:At VML, we are a beacon of innovation and growth in an ever-evolving world. Our heritage is built upon a century of combined expertise, whe...
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Senior Design System Designer - AXS
AEG - Los Angeles, California, United States, 90079 24 days ago
In order to be considered for this role, after clicking "Apply Now" above and being redirected, you must fully complete the application process on the...
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Go to next pageInfojini - Orange, California, United States, 92613
Duties & Responsibilities:• 85% - Medical Authorization Receives referral requests via fax, phone or electronically and enters new service request information into the authorization system.• Collects additional information from Client's Health members and providers to complete referral information.• Authorizes requested services according to Client's Health's authorization guidelines, performing data entry into the authorization system and verifying eligibility.• Contacts the health networks and Client's Health Customer Service regarding health network enrollments.• Assists the Medical Case Managers in gathering medical records, obtains appropriate coding for diagnosis and procedures and follows up on phone calls as directed by the authorization nurse.• Documents all contacts and case information in the system using the standard charting format.• Performs data entry into the appropriate databases for monitoring, tracking and trending of events and other relevant databases as needed.• Receives referral requests via fax, phone or electronically and enters new service request information into the authorization system.• Collects additional information from Client's Health members and providers to complete referral information.• Authorizes requested services according to Client's Health's authorization guidelines, performing data entry into the authorization system and verifying eligibility.• Contacts the health networks and Client's Health Customer Service regarding health network enrollments.• Assists the Medical Case Managers in gathering medical records, obtains appropriate coding for diagnosis and procedures and follows up on phone calls as directed by the authorization nurse.• Documents all contacts and case information in the system using the standard charting format.• Performs data entry into the appropriate databases for monitoring, tracking and trending of events and other relevant databases as needed.• 10% - Administrative Support• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.• 5% - Completes other projects and duties as assigned.
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Medical Authorization Assistant