Prior Authorizations Specialist

2 weeks ago


bangalore, India beBeeAuthorization Full time

Job Title: Telehealth Prior Authorization CoordinatorIn this role, you will play a pivotal part in ensuring timely care for our patients.You will collaborate closely with healthcare providers, patients, and insurance companies to collect necessary information and submit authorization requests.Your strong communication skills and ability to establish long-term professional relationships are essential for success in this position.You will carefully 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 for sleep studies in-lab and home sleep studies.As a key member of our team, you will have the opportunity to make a meaningful impact on the lives of our patients.



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