Healthcare Authorization Coordinator
1 week ago
**About the Role**
Macro Outsourcing Private Limited is a leading Business Process Outsourcing (BPO) firm specializing in supporting US-based doctors and healthcare practices. Our services include medical records management, appointment scheduling, medical scribing, and administrative support, with a focus on ensuring efficient patient care for our clients.
**Key Responsibilities**
- Initiate and follow up on prior authorization requests for procedures, medications, and specialist referrals as required by various insurance providers.
- Gather necessary medical documentation and patient information required for successful prior authorizations.
- Confirm patient insurance eligibility and determine specific requirements for prior authorizations based on the insurer.
- Liaise with insurance companies, healthcare providers, and relevant parties to resolve authorization issues and to expedite the approval process.
- Monitor the status of prior authorization requests, maintain accurate records of interactions, and update the healthcare provider on any approval or denial outcomes.
**Requirements**
- At least 2+ years of experience in prior authorization, medical billing, or related roles within the US healthcare system.
- Familiarity with US insurance companies, authorization processes, medical terminology, and HIPAA regulations.
- Proficiency in medical billing software and other healthcare management platforms; strong knowledge of Microsoft Office Suite (Excel, Word).
- Excellent verbal and written communication skills in English for effective interaction with US-based clients and insurers.
- A high degree of accuracy and meticulous attention to detail, particularly when managing patient data and insurance documentation.
**About the Company**
M macro Outsourcing Private Limited is a leading Business Process Outsourcing (BPO) firm specializing in supporting US-based doctors and healthcare practices.
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