Healthcare Authorization Specialist

2 weeks ago

aligarh, India beBeePrior Full time

Job Title:Healthcare Authorization SpecialistJob Description:This role involves reviewing patient medical records to determine the necessity of prior authorizations for various procedures and treatments.The ideal candidate will have effective communication skills, the ability to establish long-term interpersonal professional relationships, and a significant background in providing excellent customer service.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.Required Skills and Qualifications:Key qualifications for this role include:A strong understanding of healthcare regulations and policies.Excellent communication and interpersonal skills.Able to work accurately and efficiently in a fast-paced environment.Proficient in Microsoft Office Suite and electronic health record systems.Benefits:We offer a competitive salary and benefits package, including:A comprehensive health insurance plan.A 401(k) retirement savings plan with company match.Ten paid holidays per year.Others:Additional responsibilities of this role include: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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