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Prime Therapeutics

United States - Nationwide

NirvanaHealth

Massachusetts

Prime Therapeutics

United States - Nationwide

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St. Luke's Health System

McCall, Idaho

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BJC HealthCare

Saint Louis, Missouri

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St. Luke's Health System

Boise, Idaho

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Gainesville, Georgia

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St. Luke's Health System

Boise, Idaho

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Northeast Georgia Health System

Gainesville, Georgia

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Southern California Permanente Medical Group

Woodland Hills, California

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Northeast Georgia Health System

Braselton, Georgia

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St. Luke's Health System

Meridian, Idaho

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Boise, Idaho

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Gainesville, Georgia

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St. Luke's Health System

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St. Luke's Health System

Boise, Idaho

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Denver Health

Denver, Colorado

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Nampa, Idaho

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Southern California Permanente Medical Group

Riverside, California

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Northeast Georgia Health System

Gainesville, Georgia

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St. Luke's Health System

Boise, Idaho

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Ketchum, Idaho

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Health Plan Referral Specialist
Description POSITION SUMMARY: This position is responsible for the coordination of Referral/Precertification Management information between the UM/CM Department and providers via telephone and/or faxed clinical information. This position also performs selected data entry as submitted by medical providers. MAJOR RESPONSIBILITIES: Receive, process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager. Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding.Request, document and forward out of network provider de


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