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Medical Claims Examiner
2 weeks ago
We are seeking an experienced Approval Officer to join our team. As an Approval Officer, you will be responsible for reviewing and verifying pre-authorization requests received from different departments, ensuring that they meet the regulators' standards and insurance company requirements.
You will evaluate pre-approval requests from medical necessity for requested services, accurately code service description codes according to accepted medical coding rules, medical guidelines, and policy's schedule of benefits.
