- Cedars-Sinai (Beverly Hills, CA)
- …+ Enters data and processes referral authorization requests, to include appropriate coding and quantities. + Answers incoming calls from Providers, IPAs, Medical ... Fax Inbox and appropriately distributes incoming faxes. Ensures that internal compliance security measures are met. + Verifies member eligibility before processing… more
- Sutter Health (Roseville, CA)
- …A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment ... retrospective utilization management review using the department's accepted criteria for ambulatory , acute, and post-acute patients to confirm medical necessity is… more
- Defense Health Agency (Fort Irwin, CA)
- …Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate ... tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ Enters data and processes referral authorization requests, to include appropriate coding and quantities. + Answers incoming calls from Providers, IPAs, Medical ... Fax Inbox and appropriately distributes incoming faxes. Ensures that internal compliance security measures are met. + Verifies member eligibility before processing… more