Telehealth Authorizations Specialist

1 week ago


kakinada, India beBeePrior Full time

Job Summary:The Telehealth Prior Authorization Coordinator role involves coordinating prior authorizations for sleep studies and consultations. This position requires excellent communication skills, attention to detail, and the ability to work effectively with healthcare providers, patients, and insurance companies.Responsibilities:Review patient medical records to determine prior authorization necessity.Communicate with healthcare providers, patients, and insurance companies for required information and submission of authorization requests.Maintain accurate documentation in compliance with HIPAA regulations.Follow up on pending authorizations and resolve issues 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 for seamless patient care and efficient processing of authorizations.Education of patients on prior authorization process and necessary steps.Authorization processing for sleep studies (in-lab and home) and consultations.Appeals process for sleep study denials.Oral appliance referrals.Requirements:Quick learnerWell-organizedExcellent customer service skillsAbility to work well with peopleStrong communication skillsBenefits:This role offers a unique opportunity to make a positive impact on patient care while developing valuable skills in prior authorization coordination.What We Offer:A collaborative work environmentOngoing training and development opportunities



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