Prior Auth Service Coordinator - Worcester
1 month ago

Job summary
The Service Coordinator will communicate with contracted and non-contracted facilities/agencies/providers to collect pertinent prior authorization request data.This includes receiving incoming faxed/mailed/emailed requests and initiating entry of service request shells into core system -TruCare.
The coordinator will also handle calls from providers and members with excellent customer service,
assist FCHP providers,members,and/or their recognized authorized representatives with questions and concerns regarding authorizations,
and manage applicable queues in both the core system (QNXT UM)and the case management application (Trucare).
Job description
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