I am an efficient professional who has been consistently praised as hard-working by my co-workers and was awarded by my previous company as top performer. Over the course of my career, I’ve developed a skill set directly relevant to the role you’re hiring for.
Experience: 1 - 2 years
Make sure we are compliant with insurance protocols (kaiser, medicare) Pre-fill Oasis – Oasis SOC, ROC, Recert, Transfer, Discharge, Death, etc (Kinnser) QA RN and LVN visits Encode orders from carestitch and Kinnser QA Oasis Fill out Medication Profile Create authorization requests to be submitted to insurance for approval Double check coding (ICD 10 codes)
Experience: 2 - 5 years
Calls providers to obtain appointment date/time Calls providers to obtain work status Input specific notes or excerpts of specific notes from medical reports Obtain and/or clarify information as directed by the medical case manager or utilization reviewer. Coordinate peer to peer calls with peer Reviewers/Physician Advisors and the ordering provider
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