Insurance Specialist-6027 - Kingman
2 weeks ago

Job summary
Serves as Primary Contact for all payer requests for clinical information and utilization review decisions,Serves as primary communicator to Case Managers, Physicians and Physician Advisors when clinical information is requested or received from the payor,
Obtains and tracks appropriate information from Case Managers/Utilization Review Nurses and transmits to payers via fax, phone or email within the timeframe determined by the payer.
- Experience with office machines (i.e., copier, fax telephone), computer terminal/personal computer software and payor portals (i.e., word processing spreadsheets etc.)
Job description
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