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Responsible for obtaining prior authorizations, completing and submitting authorization forms, and tracking progress with insurance carriers while documenting outcomes and communicating with staff.

The Coverage Determination Rep I processes prior authorization requests, communicates with insurance carriers, and documents authorization statuses to ensure timely approvals for medications.

The Appeals Coordinator gathers information for appeals, writes and submits them to insurance companies, and follows up on status updates.

Manage payor relations, ensure compliance, perform contract analysis, facilitate communication, and support implementation of healthcare programs.