- 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
- High School Diploma/GED
- 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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