System Authorization Specialist - Cape Girardeau
1 week ago

The Authorization Specialist position is responsible for reviewing requests for prior authorization of medical services including elective and outpatient surgeries and procedures, home health, out of network requests, and expedited requests for medical necessity in accordance with government, commercial, and workers compensation health plan coverage guidelines.
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- This individual is responsible for benefit determination and documenting completely and accurately in accordance with healthcare system guidelines.
- Promotes harmonious and efficient intra and inter departmental relationships
Job description
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