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Healthcare Administrator
2 weeks ago
JobDescription:
ClinicalEffectiveness (Authorization) Unit is primarily responsible for theevaluation of the medical necessity, appropriateness, andefficiency of the use of health care services, procedures, andfacilities under the provisions of benefits plan. The LTSS ServiceAuthorization Specialist is responsible for applying clinical andbenefit administration policy guidelines to requests forauthorizations for Long Term Services and Supports (LTSS). The LTSSService Authorization Specialist provides accurate, prompt, andappropriate medical authorizations to requests from Clinicians,Vendors and Providers for LTSS. The LTSS Service AuthorizationSpecialist reports to the LTSS Service Authorization TeamLead.
Requirements:
- 1 or moreyears working in healthcare priorauthorization
- HSDiploma
- Data entryexperience
- Great customerservice
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