Prior Authorization Specialist

2 days ago

salem, India beBeeAuthorization Full time

Telehealth Prior Authorization SpecialistWe are seeking a detail-oriented and motivated Telehealth Prior Authorization Specialist to join our team. The ideal candidate is a quick learner, well-organized, and has 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.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 authorizations, including lab and home sleep studies, consultations, and appeals.Refer patients for oral appliance therapy.

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