Health Plan Prior Authorization Coordinator - Govt Programs

at Moda Health
Location Portland, OR
Date Posted February 8, 2019
Category Claims/Billing
Job Type Full-time

Description

Works closely with patients, families and providers, usually by telephone. Reviews Medicaid ER claims to determine payment level and appropriate use of the ER (payment of billed charges vs assessment fee). Utilizes appropriate community and social service resources as liaison to medical services. Documents cost savings opportunities where appropriate....

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