Healthcare Prior Authorization Specialist
2 weeks ago
Job OverviewWe are seeking a highly skilled Prior Authorization Coordinator to join our team. This role requires strong analytical and communication skills, as well as the ability to work independently in a fast-paced environment.The ideal candidate will have a background in healthcare and experience with prior authorization processes. They must be detail-oriented, organized, and able to multitask effectively.This is a challenging and rewarding role that offers opportunities for growth and development. If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply.Main ResponsibilitiesPrior Authorization Processing: Review and analyze patient medical records to determine the necessity of prior authorizations for various procedures and treatments.Communication: Communicate effectively with healthcare providers, patients, and insurance companies to gather required information and submit authorization requests.Documentation: Maintain accurate documentation of all authorization requests, approvals, and denials in compliance with HIPAA regulations.Follow-up: Follow up on pending authorizations and resolve any issues that may arise during the approval process.Stay Up-to-Date: Stay updated on changes in insurance policies, managed care requirements, and relevant medical coding practices (ICD-10).RequirementsEducation: Bachelor's degree in Healthcare Administration or related field.Experience: 2+ years of experience in prior authorization processing or a related field.Skill: Strong analytical and communication skills, with the ability to work independently in a fast-paced environment.BenefitsCompetitive Salary: A competitive salary and benefits package, including health insurance and paid time off.Ongoing Training: Ongoing training and professional development opportunities to help you grow in your career.
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