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Marshfield Clinic Health System Logo
Marshfield Clinic Health System

Marshfield, WI, Wisconsin

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Fairview Health Services

Saint Paul, Minnesota

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Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health

Bellmead, Texas

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CareMount Medical

Fishkill, New York

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CareMount Medical

Mt Kisco, New York

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Fairview Health Services

Edina, Minnesota

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St. Luke's Health System

Boise, Idaho

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Lititz, Pennsylvania

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Marshfield Clinic Health System

Weston, WI, Wisconsin

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Memorial Sloan Kettering Cancer Center

New York, New York

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North Las Vegas, Nevada

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Memorial Sloan Kettering Cancer Center

New York, New York

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Mary Washington Healthcare

Stafford, Virginia

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WMC Health

Suffern, New York

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Atlantic Health System

Summit, New Jersey

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CareMount Medical

Lake Katrine, New York

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Baylor Scott & White Health

Dallas, Texas

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CareMount Medical

Poughkeepsie, New York

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Biolife Plasma Services

City of Saint Peters, Missouri

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Penn State Health

Harrisburg, Pennsylvania

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Vanderbilt Health

Nashville, Tennessee

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Health Plan Referral Specialist
DescriptionSummary:This position is responsible for the coordination of Referral/Precertification Management information between Utilization Management and providers via telephone and/or faxed clinical information and for data entry of Utilization Management information as submitted by on-site Case Managers and/or providers.Receive, process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager.Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding.Request, document and forward out of network provider demographic information to PR De


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