Responsibilities:
·This position is responsible for coordinating, generating, and tracking both incoming and outgoing correspondence, faxes and authorizations related to prospective, concurrent and post service review functions.
·This position will interact with facilities, vendors, providers and other staff to facilitate the receipt of information and records for prompt review and response.
·It is also the duty of this position to monitor compensation plans for physicians, licensed nurse reviewers, staff and consultants who manage and conduct the medical management determinations.
·To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.