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Harris Health System

Houston, Texas

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Harris Health System

Houston, Texas

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Northern Nevada Sierra Medical Center

RENO, Nevada

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MemorialCare Health System

Fountain Valley, California

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Baylor Scott & White Health

Dallas, Texas

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Baylor Scott & White Health

TEMPLE, Texas

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American Public Health Association

Washington, D.C.

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Baylor Scott & White Health

Dallas, Texas

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Baylor Scott & White Health

Austin, Texas

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AdventHealth

Orlando, Florida

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Cook County Health

Chicago, Illinois

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Vanderbilt Health

Nashville, Tennessee

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AdventHealth

Shawnee Mission, Kansas

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MemorialCare Health System

Fountain Valley, California

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Vanderbilt Health

Nashville, Tennessee

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Penn State Health

Hershey, Pennsylvania

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AdventHealth

Shawnee Mission, Kansas

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MultiCare Health System

Remote, Washington

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Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health

Grapevine, Texas

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Memorial Sloan Kettering Cancer Center

New York, New York

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Health Plan Referral Specialist
DescriptionSummary:This position is responsible for the coordination of Referral/Precertification Management information between Utilization Management and providers via telephone and/or faxed clinical information and for data entry of Utilization Management information as submitted by on-site Case Managers and/or providers.Receive, process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager.Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding.Request, document and forward out of network provider demographic information to PR De


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