Prior Authorization Specialist
1 day ago
Crammaze is seeking a reliable, organized and experienced Medical Insurance Verification & Prior Authorization Specialist to join our fast-paced team. This role plays a vital part in supporting our sleep studies and DME services.
Key Responsibilities:- Verify patient insurance benefits and eligibility for medical procedures including sleep studies and DME.
- Efficiently obtain prior authorizations from various insurance plans.
- Explain co-pays, deductibles and co-insurance to patients with clear and professional communication.
- Work closely with HMO and PPO insurance plans.
- Document and track authorizations within EMR systems and Excel spreadsheets.
- Collaborate effectively with the front office and billing teams when needed.
- Manage high call volumes while maintaining excellent phone etiquette and attention to detail.
- Minimum 2 years of experience in medical insurance verification and prior authorization.
- Strong understanding of co-pays, deductibles, co-insurance and insurance plan types.
- Knowledge of sleep studies and DME services is preferred but not essential.
- Ability to multitask and prioritize tasks efficiently.
- Excellent verbal and written communication skills are necessary.
- Proficiency in EMR systems and Microsoft Office, particularly Excel, is required.
- A strong team player with a positive attitude is essential for this role.
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India Kuchin Offshore Staffings Full timeRole DescriptionThis is a full-time remote role for a Prior Authorization specialist at Kuchin Offshore Staffings. The role involves handling Prior authorization requests, verifying insurance coverage, ensuring compliance with regulations in the US healthcare system. This role involves coordinating prior authorization for medical, pharmacy and radiology...
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India Kuchin Offshore Staffings Full timeRole DescriptionThis is a full-time remote role for a Prior Authorization specialist at Kuchin Offshore Staffings. The role involves handling Prior authorization requests, verifying insurance coverage, ensuring compliance with regulations in the US healthcare system. This role involves coordinating prior authorization for medical, pharmacy and radiology...
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