Medical Office - Specialist 2

rincipal Accountabilities Process pre-authorization requests : Ensure timely and accurate adjudication (approval, rejection, or shortfall) - compliance with policy terms. Review and validate medical details : Check system entries and documents - maintain accuracy and reduce errors. Refer cases requiring specialist input : Escalate package deviations or complex cases -ensure appropriate medical decision-making. Coordinate with insurers : Obtain concurrence for approvals - smooth case closure and…