Report on authorizations and referral tracking in compliance with DHS, CMS regulation. Prepare, analyze, review for accuracy, and submit reports to health plans. Maintain data integrity and quality control of the reports. Request and maintain medical records from the primary physicians for an audit. Receive, process, and submit grievances to healthcare plans. Prepare reports, documents, minutes, and agenda for the management committee.
Master's degree in Business Administration or related.
Please copy and paste your resume in the email body do not send attachments, we cannot open them and email them at candidates at placementservicesusa.com with reference #094355 in the subject line.