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Association of Washington Healthcare Plans (AWHP)
Olympia, Washington
Solomon Page
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Danville, Pennsylvania
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Wilkes-Barre, Pennsylvania
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Utilization Review Assist OP, Utilization Mgmt MCH OP - FT/Days (8hrs)
The Outpatient Utilization Review Assistant, using decision trees and standard work, is responsible for a broad range of utilization review support services to ensure efficient authorization coordination including registering patients, eligibility verficiation, obtaining authorizations, maintaining patient information through chart documentation in EMR, and providing other support as requested.The Outpatient URA is responsible for selecting appropriate chart documents to submit timely requests to government insurances, private health plans, medical groups and IPAs to secure authorizations and documents activities and authorizations per standard work. The Outpatient URA is able to navigate and understand payer portals for tra
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