Telehealth Prior Authorization Specialist

18 hours ago

hubballi, India beBeeTelehealthPriorAuthorization Full time

Job SummaryWe are seeking a detail-oriented and motivated professional to coordinate telehealth prior authorizations.The ideal candidate is a quick learner, well-organized, and has a significant background in providing excellent customer service. They must enjoy working with people and helping to ensure timely care for our patients.Key Responsibilities:Review 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.Process sleep authorization requests for sleep studies in-lab and home sleep studies.Coordinate sleep consultations and appeals processes.RequirementsOur ideal candidate will have the following skills and qualifications:Detail-oriented and organized approach to work.Excellent communication and interpersonal skills.Ability to learn quickly and adapt to changing priorities.Background in providing customer service or support.Familiarity with medical coding practices (ICD-10).This role offers a unique opportunity to make a meaningful impact in patient care and we encourage you to apply if you possess the required skills and qualifications.

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