Prior Authorization Service Manager

2 weeks ago


tiruppur, India beBeeCoordinating Full time

Job Summary:The Telehealth Prior Authorization Coordinator will be responsible for reviewing patient medical records, communicating with healthcare providers and insurance companies, and maintaining accurate documentation.Key Responsibilities:Review and analyze patient medical records to determine prior authorization necessityCommunicate with healthcare providers, patients, and insurance companies to gather information and submit authorization requestsMaintain accurate documentation of all authorization requests, approvals, and denialsFollow up on pending authorizations and resolve issuesStay updated on changes in insurance policies and medical coding practicesCollaborate with medical office staff for seamless patient careEducate patients on the prior authorization processPreferred Qualifications:Outpatient practice experience is preferred. Additionally, multispecialty practice experience and proficiency in electronic medical record (EMR) systems are highly valued.



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