Provides a variety of clerical duties in support of the medical office Greets patients, answers telephone, schedules appointments, registers patients, makes copies and scans insurance information, obtains treatment authorization from managed care plans and applicable government payers, verifies
medical necessity prior to diagnostic testing, and scans documents into EMR charting system.
Not exact matches
Each proposed hospital admission, in - patient or out - patient surgery, and other procedures as noted in the Certificate of Insurance must be Precertified for
medical necessity, which means the insured person or their attending physician must communicate with a representative at the number listed on the identification card
prior to admission to a hospital or performance of a surgery.
Assist with determining if requested services are within the member's scope of benefits, if
prior authorizatio is required, and if the requested service requires clinical review for
medical necessity by a Registered Nurse or Pharmacist or the M
medical necessity by a Registered Nurse or Pharmacist or the
MedicalMedical.
Insuring correct diagnosis / coding on patient order while meeting
Medical Necessity determinations for payment and determining any pre-certification requirements are obtained correctly and accurately
prior to the testing.
How to Get the Deduction «Make sure to get a prescription from your doctor — or some other documentation that shows your
medical necessity —
prior to obtaining any pet that you claim,» says Grasso.