Hmo Jobs In Az - 2 Job Positions Available

ESSENTIAL FUNCTIONS Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner. Verifies patient demographic information and insurance eligibility including coordination of benefits;

JOB DESCRIPTION Provides support and subject matter expertise for member clinical dental review activities. Responsible for determining appropriateness and medical necessity of member dental care services - targeting opportunities for quality improvement and satisfaction for members