Utilization Review Nurse
About the job
Patient Advocate:
-Assist patients in utilizing their insurance benefits for treatment at MedPark Hospital.
-Clearly explain insurance coverage details and answer any related questions.
-Provide guidance on optimizing claims processing for faster approval.
Coverage Verification:
-Meticulously review all patient charges to ensure accuracy.
-Verify patient benefit details through the provider portal.
Pre-Authorization Specialist:
-Gather and prepare medical documentation for pre-authorization of surgeries or admissions.
-Electronically submit required documents to insurance companies via fax and email.
-Proactively follow-up on guarantee of payment letters through phone calls and emails.
-Coordinate with internal departments to ensure timely completion of all necessary reports and document requests.
-Clearly communicate coverage information to patients.
Full-Time
49 active jobs
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