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Northeast Georgia Health System
Demorest, Georgia
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Health Plan Referral Specialist - Health Plan Utilization
DescriptionSummary:Processes all requests for referral authorizations and research problem referral claims or requests for payment.Responsibilities:Meets expectations of the applicable One CHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Expedite the flow of authorization requests through the Managed Care System. Prepare requests for authorization of services by ensuring form completion, eligibility, verification, chart availability, benefits etc. Accurately enter referral information into the computer system with a thorough understanding of the correct system codes (type, status, procedure etc.) Facilitate documentation of authorizations into the computer system.
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