Referral & Authorizations II

Millennium Physician GroupNorth Fort Myers, FL

About The Position

To process Referrals and Prior Authorizations. To process referrals in a timely manner from PCP to Specialist/Imaging/Procedures. To obtain prior authorizations from insurance companies adhering to the payer guidelines and standards. Handling inbound calls from specialist, patients and insurance companies. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans.

Requirements

  • Process referrals
  • Obtain prior authorizations
  • Handle inbound calls

Responsibilities

  • Process referrals in a timely manner from PCP to Specialist/Imaging/Procedures.
  • Obtain prior authorizations from insurance companies adhering to the payer guidelines and standards.
  • Handle inbound calls from specialists, patients, and insurance companies.
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