Healthcare Specialist / Data Entry

Role and Responsibilities: ? Create the new case in the case management software, as applicable. ? Create various required letters based on service type and determines the date to be scheduled for review by the PR... ? As applicable to the HCR service type, assist the CNR in obtaining additional information as requested from the client. Upon receipt of the additional information needed, notifies the CNR the additional information has been obtained. ? Maintain communication, including but not limited to any delays in service, with the referring party as required for the service type being performed. ? When scheduling a case, select the appropriate PR to complete the service type, using the following selection criteria: ? Availability to requested timeframe ? Pricing relative to client pricing thresholds ? Maintain communication with the PR (as applicable) during the review process to ensure timely and accurate delivery of the review service being completed. ? Maintain policy and process requirements for all service types, including the submission of all required correspondence and documentation consistent with state and/or client requirements. ? Accurately and consistently document all required case activities in the case management software. ? Once QA is complete, finalizes the report and delivers it to the appropriate parties. ? Accurately inputs PR cost and client charge for invoicing/payment by the Accounting Department. ? Seeks the advice of the CNR and/or direct supervisor, as needed, when performing assigned duties. ? Protects confidential patient information in compliance with the corporate confidentiality policies. ? Other duties as assigned.

Required Qualifications and Education:
? High School diploma or GED
? A minimum of two (2) years related experience

Desired Skills and Experience

Required Qualifications and Education:
? High School diploma or GED
? A minimum of two (2) years related experience

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