Central Florida Health Job - 44680614 | CareerArc
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Company: Central Florida Health
Location: Leesburg, FL
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech

Description

POSITION SUMMARY

  • This person will track authorizations/denials and LOS authorization by payer provider; ensure UR Coordinators  are notified in a timely manner of authorizations and denials pending; record utilization review information for compliance with Medicare, Medicaid, and other third party payers; and correspond with physicians, payer providers and other departments as directed by the Director.

EDUCATIONAL REQUIREMENTS / QUALIFICATIONS

  • Education
    • High School Diploma/GED
  • Licensure/Certification/Registration
    • N/A
  • Special Skills/Qualifications/Additional Training/Experience Required
    • Must be able to read, write, speak and understand English.
    • Computer Operation; minimum 55 wpm. Knowledge of MIDAS, PCA, MedDecision/Exchange and HBOC programs. Medical Terminology. Prior third party payer experience. Word and Excel or similar software. Prior use of computers and other office equipment.


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