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McIntosh Trail Community Service Board

Under general to limited supervision, the Quality Assurance Specialist will perform professional and administrative work coordinating and implementing a quality assurance program in a facility providing specialized or community-based services or assisting with the implementation of an intense quality assurance program of substantial scope and complexity for persons with mental illness and/or developmental disabilities.

Responsibilities

·        Ensures accurate and timely processing of authorizations.

·        Post incoming Carelon Files with Registrations, authorizations and discharges.

·        Research and resolves rejections.

·        Communicates correction instructions with staff, re-submits files when updated.

·        Submits OTRs in GAMMIS and monitors for same day service needs.

·        Checks portals for authorization updates.

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McIntosh Trail Community Service Board

Georgia - Spalding - Griffin

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