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Administrative & Secretarial

Experience Utilization Coordinator

$17/hr Starting at $25

•Documenting and processing financial and pre-certification request for patient referrals including but not limited to: authorizations, durable medical equipment, medications, patient procedures, physical/occupational therapies, radiology services, and specialist referrals. •Review structured clinical data and matching it against specified medical terms and diagnoses or procedure codes required for requested authorization. •Verify insurance eligibility and benefits via telephone and/or internet access. •Investigate and resolve of insurance claim denials. •Conducting follow up calls necessary to physician offices and third party payor to complete pre-certification process. •Multi-task and accomplish multiple objectives while maintaining organization. •Perform clerical functions including but not limited to: rigorous data entry, scanning, documentation, maintaining patient records, and telephone customer service.

About

$17/hr Ongoing

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•Documenting and processing financial and pre-certification request for patient referrals including but not limited to: authorizations, durable medical equipment, medications, patient procedures, physical/occupational therapies, radiology services, and specialist referrals. •Review structured clinical data and matching it against specified medical terms and diagnoses or procedure codes required for requested authorization. •Verify insurance eligibility and benefits via telephone and/or internet access. •Investigate and resolve of insurance claim denials. •Conducting follow up calls necessary to physician offices and third party payor to complete pre-certification process. •Multi-task and accomplish multiple objectives while maintaining organization. •Perform clerical functions including but not limited to: rigorous data entry, scanning, documentation, maintaining patient records, and telephone customer service.

Skills & Expertise

Appointment SchedulingAppointment SettingCitrixClerical SkillsCollectionsCommunication SkillsCPT CodingCustomer ServiceData EntryHealth InsuranceICD CodingInterpersonal SkillsMedical Records ResearchMedical Secretarial SupportMedical SoftwareMedical TranscriptionMedisoftMs ExcelMs OutlookMs PublisherPolish TranslationTelephone HandlingTelephone SkillsWord Processing

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