MKPIT

Key Responsibilities: Review and evaluate clinical information submitted with PA requests for medical necessity, appropriateness, and benefit coverage. Conduct clinical reviews for outpatient, inpatient, and specialty services, including J code medications and durable medical equipment (DME) as applicable. Apply CMS…

Job Profile · Resolve customer issues via chat services including chat, text, email, social media, direct messaging as well as other nonverbal platforms. · Answer incoming communications from customers· Get answers for customers quickly· Consult on products with compassion· Resolve…