onsite licensed Nurse with prior authorization experience (lahug cebu)Omega Healthcare Management Services Inc.

Workplace: Cebu
Salary: Agreement
Work form: Full time
Posting Date: 05/11/2024
Deadline: 05/12/2024
Required Experience
 
· Candidates must possess a bachelor's degree.
o   Must be active license holder for PH-RN
·   Preferably with minimum of 1-year experience in Prior authorization
 
Job Duties and Responsibilities
·       Prioritize incoming authorization and referral requests according to queue urgency
·       Review patient's clinical and chart documentation related to the service submitted by the provider's office
·       Obtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods-depending on the payer's policy:
o   Perform outbound calls to payer's authorization department
o   Access payer's authorization online portal
o   Submit faxes to payer's authorization department
·       Respond to payer's clinical questions to be able to proceed with the authorization and referral requests
·       Obtain and/or follow up payer's peer-to-peer review requirements and send them back to provider's office for the actual initiation
·       Cater inbound calls from payers and perform necessary actions required for the task
·       Listen and review voicemail messages from payers then perform necessary actions required for the task
 
 

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Omega Healthcare Management Services Inc.

Position onsite licensed Nurse with prior authorization experience (lahug cebu) recruited by the company Omega Healthcare Management Services Inc. at Cebu, Cebu, Joboko automatically collects the salary of , finds more jobs on Onsite Licensed Nurse with Prior Authorization Experience (Lahug Cebu) or Omega Healthcare Management Services Inc. company in the links above
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