Medical Authorization Specialist

2 days ago


hubballi, India beBeeAuthorization Full time

Job Title: Medical Authorization SpecialistWe are seeking a detail-oriented and motivated medical professional to join our team as a Prior Authorizations Coordinator.This role requires excellent organizational and communication skills, with the ability to establish long-term relationships with healthcare providers, patients, and insurance companies.Key Responsibilities:Review patient medical records to determine prior authorization necessity for 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 necessary steps.Sleep authorization processing for sleep studies in-lab and home sleep studies.Sleep consultations authorizations.Sleep study appeals process.Oral appliance referral process.



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