Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.
High school diploma or equivalent. 2+ years of customer service experience. Knowledge of medical terminology preferred.
• Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
• Verify eligibility and benefits
• Answer phone queues and process faxes within established standards
• Data enters authorizations into the system.
Centene Corporation - 18 months ago
Centene is sensitive to the needs of individuals and families enrolled in government-assisted health programs. The company provides managed...