Prior Authorization Specialist

4 days ago

Malappuram, India beBeeAuthorization Full time

Job OverviewThe role of Prior Authorization Coordinator is a crucial position within our organization, requiring an individual with exceptional organizational skills and the ability to maintain accurate records.This detail-oriented professional will be responsible for reviewing patient medical records, analyzing necessary procedures and treatments, and communicating effectively with healthcare providers and insurance companies. Responsibilities include reviewing and analyzing patient medical records for prior authorizations, communicating with healthcare providers and patients to gather required information, and maintaining accurate documentation in compliance with HIPAA regulations.Other key responsibilities include following up on pending authorizations, resolving any issues that may arise during the approval process, staying updated on changes in insurance policies and medical coding practices, and collaborating with medical office staff to ensure seamless patient care.The ideal candidate will have excellent communication skills, listening abilities, and a strong background in providing customer service, as well as a significant understanding of managed care requirements and relevant medical coding practices.Key Skills: Communication skills, Customer service, Documentation, Healthcare knowledge, Insurance, Managed care, Medical coding, Organizational skills, Patient care, Time management.Job Requirements: The ideal candidate should have experience working with medical records and authorization processes, possess strong analytical and problem-solving skills, and be proficient in creating and managing electronic records.Benefits: As a member of our team, you will be offered opportunities for growth and development, a competitive salary, and benefits package, as well as a collaborative work environment where you can utilize your skills and expertise to make a positive impact on patient care.

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