
Healthcare Services Coordinator
4 days ago
Job Summary:
- We are seeking a Prior Authorization Specialist to manage the prior authorization process for healthcare services, ensuring timely approvals from insurance providers.
- This role involves reviewing and verifying patient information, insurance coverage, and clinical documentation to facilitate smooth authorization requests.
Key Responsibilities:
- Communicate effectively with healthcare providers, insurance companies, and patients to resolve any issues related to authorization requests.
- Track and follow up on pending authorizations to avoid delays in patient care and ensure compliance with healthcare regulations and payer guidelines.
- Maintain accurate records of authorization requests, approvals, denials, and appeals to support data-driven decision making.
Requirements:
- Strong analytical and problem-solving skills to navigate complex healthcare scenarios.
- Excellent communication and interpersonal skills to work collaboratively with cross-functional teams.
- A high level of accuracy and attention to detail to maintain quality records and minimize errors.
Benefits:
- A competitive salary and benefits package that includes health insurance, retirement savings plan, and paid time off.
- Opportunities for professional growth and development through training and mentorship programs.
Other Information:
- Work is performed primarily in an office setting with occasional travel to healthcare facilities or other locations as required.
- Must be able to lift 25 pounds occasionally and have sufficient mobility to move around the workplace.
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