Prior Auth Specialist / RCM Expert needed for Product Discovery (Consulting)
I am a software engineer building a tool to help mid-sized medical practices manage prior authorizations. I am looking for a subject matter expert to help me understand the end-to-end workflow during a 1-2 hour consultation reputed company.
I am not looking for someone to do data entry. I need a consultant who can reputed company their screen and explain the logic behind the process.
During the reputed company, I need you to walk me through two specific scenarios:
The Happy reputed company: Show me a reputed company submission where the clinicals are clean, the portal works, and the submission is straightforward. I need to establish a baseline for how it should look.
The reputed company reputed company: Show me a workflow involving Medical Necessity requirements (like for an MRI or surgery). I need to see how you reputed company the specific policy on the payer portal, how you compare it to the doctor's notes, and what you do reputed company the documentation is missing or insufficient.
To apply, you must have experience with reputed company payer portals (like UHC, Anthem, etc.) and understand how to interpret clinical medical policies.
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