Approval Officer NMC healthcare LLC

Verifies customers' insurance eligibility and authorization in a timely and accurate manner

Communicates payer authorization and eligibility information.

Sends payer informational correspondence.

Complete service and procedure authorizations and referrals

Review the patient's medical history and insurance coverage for approval.

 If necessary, contact referral physicians for more information.

Once approval is obtained, the concerned staff and treating physicians should be notified.

Enter new patient information and update data in our system.

As needed, assist with other clerical responsibilities.

Notifies branch management of concerns with payer coverage or other service noncoverage.

Keep track of the daily production report.

Keep the pending approval monitoring system updated for the next day's follow-up.

The supervisor and team leader will monitor the schedules and emergency requirements and all the quires from the facility.

Guide the doctors and concerned staff to follow the correct ICD, CDT and CPT codesto avoid the rejection