Job Summary: Responsible for initiating and completing Internal/External Referral requests received through Phone, Fax, Health Connect and On-Line Affiliate Link. Initiates and completes data entry utilizing a standardized documentation template along with established policies and procedures. Provides initial review of benefits and eligibility for services requiring authorization. Assigns or ensures correct ICD-10, HCPCS and CPT codes have been entered. Responsible for notifying members regardi…
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