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Baylor Scott & White Health Logo
Baylor Scott & White Health

TEMPLE, Texas

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Harris Health System Logo
Harris Health System

Houston, Texas

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Harris Health System Logo
Harris Health System

Houston, Texas

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Banner Health

Sun City West, Arizona

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Marble Falls, Texas

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Marble Falls, Texas

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Duke University Health System

Durham, North Carolina

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Memorial Sloan Kettering Cancer Center Logo
Memorial Sloan Kettering Cancer Center

West Harrison, New York

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Harris Health System Logo
Harris Health System

Houston, Texas

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Nationwide

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Marble Falls, Texas

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Harris Health System

Houston, Texas

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CHRISTUS Health

Longview, Texas

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Baylor Scott & White Health

Irving, Texas

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WMC Health

Suffern, New York

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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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Baylor Scott & White Health

Rowlett, Texas

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Harris Health System

Houston, Texas

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Irving, Texas

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Duke University Health System

Durham, North Carolina

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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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Harris Health System

Houston, Texas

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Utilization Mgmt LVN
JOB SUMMARY: Manages Requests for Outside Services. Applies Screening Criteria for Harris Health eligible patients. Secures authorization for third party payers by providing pertinent clinical documentation according to payer guidelines. Communicates with clinic staff regarding insurance denials and impending insurance authorization expirations. Facilitates peer to peer review between the clinical staff and the payer for denied cases. Enters authorization information into EPIC Telephone Encounters. Schedule patients for outsourced procedures. Follows up with test results and ensure placement in EPIC for physician retrieval. Strong written and verbal skills are necessary in order to communicate with clinical staff and payers. MINIMUM QUALIFICATIONS: Edu


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