Authorization Specialist
5 days ago
About the Role:
We are seeking an experienced Authorization Specialist to join our team at Bizmatics India Private Limited. As an Authorization Specialist, you will play a critical role in verifying insurance eligibility and benefit levels to ensure timely authorization of medical services.
Responsibilities:
- Verify insurance eligibility and benefit levels for patients prior to service receipt.
- Communicate with payers via electronic, telephonic, and/or fax communications to obtain necessary authorizations.
- Investigate and resolve pre-certification, authorization, and referral requirements for services.
- Coordinate with clinical contacts to escalate complex cases requiring peer-to-peer review.
- Collaborate with clinical partners, financial counselors, and other stakeholders to facilitate the authorization process.
- Prioritize workload to ensure urgent cases are handled in a timely manner.
- Complete accurate documentation in the Auth/Cert and Referral Shells.
- Ensure timely and accurate insurance authorizations are in place prior to services being rendered.
Requirements:
- Demonstrate knowledge of medical terminology and HIPAA regulations.
- High proficiency in general medical office procedures.
- Excellent communication and organizational skills.
- Ability to work independently and as part of a team.
Compensation:
The estimated annual salary for this position is ₹800,000 - ₹1,200,000 (depending on location) with additional benefits including health insurance, retirement plan, and paid time off.
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