- Prime Therapeutics (Tallahassee, FL)
- …review of medical records to audit authenticity of provider response during Prior Authorization and reporting results to client. + Assists with the ... verbal communications with physicians, their staff, cardholders, and pharmacies. + Escalates medical exception requests to nurse , pharmacist or physician on the… more
- University of Miami (Miami, FL)
- …and referral numbers. + Reviews clinical records for completeness including authorization , signatures, missing data and other patient information. + Answers multiple ... + Submits signed consents to healthcare centers to initiate retrieval of medical records, pathology slides, x-rays, and other pertinent reports. + Tracks pending… more
- Centene Corporation (Tallahassee, FL)
- …services to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance abuse to ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Tallahassee, FL)
- …autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to determine medical appropriateness in accordance ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Cleveland Clinic (Weston, FL)
- …+ Administer medication. + Maintain complete, accurate and up-to-date documentation in medical records and files. + Complete authorization forms and laboratory ... diverse patient population. You will be responsible for patient outreach prior to cardiology procedures, including providing reminders about dietary restrictions and… more