- Initiate pre-authorization requests to payers for procedures requiring approval.
- Verify insurance eligibility and benefits for patients.
- Advise patients on financial obligations and collect payments.
- Monitor appropriateness and medical necessity for authorizations and continued visits.
- Perform quality assurance audits on patient accounts.
- Communicate with clinical partners and departments to facilitate information exchange for authorizations.
- Notify patients and providers when insurance coverage is inadequate or terminated.
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