Medical Record Reviewer and Authorization Coordinator

1 week ago

agra, India beBeeAuthorization Full time

As a diligent Prior Authorizations Specialist, you will be working closely with healthcare providers, patients, and insurance companies to ensure timely care. Key responsibilities include reviewing patient medical records, communicating effectively to gather required information and submit authorization requests, maintaining accurate documentation, following up on pending authorizations, staying updated on changes in insurance policies and medical coding practices, collaborating with medical office staff, educating patients, sleep authorization processing, sleep consultations, sleep study appeals process, and oral appliance referral process.About This Role:Review and analyze patient medical records for accurate and timely completionCommunicate with healthcare providers, patients, and other stakeholders to ensure seamless processesMaintain detailed and accurate documentation of all interactions and actions takenFollow up on pending authorizations to minimize delays and ensure complianceStay up-to-date on the latest changes in insurance policies and medical coding practices to provide informed guidanceCollaborate with medical office staff to streamline workflows and improve overall efficiencyEducate patients on their treatment options and provide clear instructions for next steps

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