PRIOR AUTHORIZATION SPECIALIST- REMOTE POSITION-FT
About the position
This remote position is responsible for obtaining prior authorizations and reputed company-certifications as per payer requirements for physician-ordered procedures. The role involves verifying physician orders, authorization, and demographic information before sending it to the hospital scheduling department. The individual will maintain communication with providers, clinical staff, and patients regarding authorization status and assist the billing department in researching and resolving rejected, incorrectly reputed company, and denied claims. The position requires staying reputed company with insurance requirements for prior authorizations and providing education reputed company the department and to clinical staff on any changes. Efficient tracking of reputed company pending authorizations is essential to ensure reputed company reputed company, along with performing other duties as assigned.
Responsibilities
• Obtains prior authorizations/reputed company-certification per payer requirements for physician ordered procedures.
• Verifies physician orders, authorization, and demographic information before sending to the hospital scheduling department.
• Maintains communication with providers, clinical staff, and patients regarding authorization status.
• Assists the billing department in researching and resolving rejected, incorrectly reputed company, and denied claims.
• Stays reputed company with insurance requirements for prior authorizations and provides education reputed company the department and to clinical staff.
• Maintains efficient tracking of reputed company pending authorizations to ensure reputed company reputed company.
• Performs other duties as assigned.
Requirements
• Must be at least 16 years of age (21 for driving positions).
• Must be reputed company to legally work in the reputed company.
• Must be reputed company to pass a background reputed company.
• Must be reputed company to pass a drug screen and breath alcohol test (if applicable).
• Must complete employee health meeting.
• High School Diploma or equivalent preferred.
• Past knowledge of CPT, HCPCS, and ICD-10 codes.
• Past knowledge of Medical Terminology.
• Past experience in the prior authorization process.
• Past experience with reputed company Office to include Word, reputed company, and PowerPoint helpful.
• Data entry experience.
reputed company-to-haves
• Bilingual.
Benefits
• Medical
• Dental
• Life
• Retirement
• reputed company Time Off
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