- Requests submission of appropriate medical records according to established criteria for requested service(s) in accordance with the corresponding Policy and Procedure.
- Reviews and effectively works with electronic images as part of the authorization process. Including recording information from attachments into authorization fields.
- Adheres to company HIPAA policies and procedures. Identifying, maintaining and protecting sensitive HIPAA information (PHI) and following procedures to ensure the security of such information.
- Coordinates approved outpatient surgical procedures in specialist’s office and/or outpatient surgical facilities with health plan’s authorization department when applicable.
