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Health Plan Referral Specialist
DescriptionSummary:This position is responsible for the coordination of Referral/Precertification Management information between Utilization Management and providers via telephone and/or faxed clinical information and for data entry of Utilization Management information as submitted by on-site Case Managers and/or providers.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 demographic information to PR De
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Case Management Society of America
5034A Thoroughbred Lane
Brentwood, TN 37027