HMO Specialist I in Jacksonville, FL for Nemours

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HMO Specialist I

Nemours is seeking an HMO Specialist I to join our Nemours Children's Health team in Jacksonville, FL. Primary Function:Greet patients in accordance with Nemours Standards of Behavior. Obtain authorization for scheduled visit by following the NCC Standard of Business Practice. Verify and update demographic, insurance, PCP and authorizations/referral information when required at each encounter. Essential Functions: 1.Assist patients in obtaining an authorization when they arrive at the clinic without an appropriate authoization and advise clinic of patient status. 2.Communicate with assigned clinics regarding unattainable authorizations. 3.Monitor voice mail and return calls as appropriate for the main H

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