Prior Authorizations Specialist

3 days ago


agra, India beBeePrior Full time

Prior Authorization Coordinator Job DescriptionWe are seeking a detail-oriented and motivated Prior Authorizations Coordinator to join our organization.Key Responsibilities:Review Patient Records: Determine prior authorization necessity for procedures and treatments by reviewing patient medical records.Communicate with Healthcare Providers: Communicate with healthcare providers, patients, and insurance companies to gather information and submit authorization requests.Maintain Accurate Documentation: Maintain accurate documentation of authorization requests, approvals, and denials in compliance with HIPAA regulations.Follow up on Pending Authorizations: Follow up on pending authorizations and resolve any issues that arise during the approval process.Stay Updated: Stay updated on changes in insurance policies, managed care requirements, and relevant medical coding practices (ICD-10).Collaborate with Medical Office Staff: Collaborate with medical office staff to ensure seamless patient care and efficient processing of authorizations.Educate Patients: Educate patients on the prior authorization process and necessary steps.The ideal candidate is a quick learner, well-organized, with a significant background in providing excellent customer service. They must also enjoy working with people and helping ensure our patients receive timely care.This position requires strong communication, organizational, and problem-solving skills. The successful candidate will be able to work effectively in a fast-paced environment and maintain confidentiality when dealing with sensitive patient information.Bonus points if you have experience working with sleep studies and consultations



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