Prior Authorizations Coordinator

1 week ago

Eluru, India beBeeAuthorization Full time

Telehealth Prior Authorization SpecialistWe are seeking a detail-oriented and motivated individual to join our team as a Telehealth Prior Authorization Specialist. The ideal candidate is a quick learner, well-organized, and has a significant background in providing excellent customer service.This role requires effective communication skills, including listening, to establish long-term professional relationships with healthcare providers, patients, and insurance companies.Review and analyze patient medical records to determine the necessity of prior authorizations for various procedures and treatments.Communicate effectively with healthcare providers 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 necessary steps they need to take.Process sleep authorizations for sleep studies and manage sleep consultations and appeals processes.Coordinate oral appliance referrals.

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