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Transplant Financial Review Representative
JOB SUMMARYThe Transplant Financial Review Representative verifies coverage and other medical benefits and acquires necessary referrals and authorizations for outpatient and inpatient services. Submits medical records to insurance companies to obtain prior-authorizations for all transplant service lines. Monitors transplant patients to update insurance documentation, attending physicians, authorizations, and providers. Close communication is required throughout the process with patients, insurance companies and physicians.ESSENTIAL FUNCTIONS OF THE ROLEEPIC experience preferredConducts high volume of pre-certification authorizations for all transplant service lines.Obtains required PCP


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