Healthcare Specialist

3 days ago


Jodhpur, India beBeePriorAuthorization Full time

We are currently seeking a highly skilled and detail-oriented Prior Authorizations Coordinator to fill this challenging role.The ideal candidate will possess excellent communication skills, be able to establish strong professional relationships, and have a significant background in delivering outstanding customer service. This individual must also enjoy working with people and ensuring that our patients receive timely care.Key Responsibilities:Review and analyze patient medical records to determine the necessity of prior authorizations for various procedures and treatments.Communicate effectively with healthcare providers, patients, and insurance companies to gather required information and submit authorization requests.Maintain accurate documentation of all authorization requests, approvals, and denials in compliance with HIPAA regulations.Follow up on pending authorizations and resolve any issues that may arise during the approval process.Stay updated on changes in insurance policies, managed care requirements, and relevant medical coding practices (ICD-10).Collaborate with medical office staff to ensure seamless patient care and efficient processing of authorizations.Educate patients on the prior authorization process and any necessary steps they need to take.Sleep authorization processing for sleep studies in-lab and home sleep studies.Sleep consultations authorizations.Sleep study appeals process.Oral appliance referral process.



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