Responsibilities but limited to:

● Service Delivery

● Carelon Medical Benefits

● Post-Acute Authorization (Prior,Continued stay)

● Home Health Authorization

● Intake

● OASIS Encoding

● Approval Process

● Denial Process

● ICD code encoding

● Medical Transcription

● NPPES NPI

● Clinical update: Facesheet, Treatment Encounter Note, Physician's

Order, History and Physical, Member/Provider Appeal

● Notification of Medicare Non-Coverage

● Sending and Receiving Fax

● Medical Reports verification

● Email Management

● Outbound Confirmation

● Clinical Review

● HIPAA Verification

Sample Works