Job Summary Creates and assists with the preparation of referral requests. As part of the preparation process will verify eligibility, benefits, request any needed clinical notes and accurately complete or forward referral to appropriate staff to finalize decision. Ensures that all referral policies and procedures are followed as required to meet all contractual, regulatory and federal requirementsEssential Job OutcomesEligibility and benefits verification via website or telephone. Accurately and clearly documents information within the referral.Assist in verifying accuracy of member address prior to completing the authorization.
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