- Review and approve payment against Pre-approvals received from providers on medical cases
- Monitor day to day activities of the team, assign tasks/objectives/schedules to team members.
- Support the team for any query in terms of medical cases, clients’ and providers complaints, insurance coverage, and problems in the system or pending cases in the system.
- Check approvals guidelines related to each account.
- Handle daily approval requests for Admitted inpatient cases, if needed admission extension or any further procedure.
- Handle daily approval requests for new cases that need admission approvals (IP Coordinator).
- Handle daily approval requests for OP requests related to Lab./Rad./OP services (OP Coordinator).
- Follow up with accounts for delayed approvals.
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