[Hiring] Reimbursement Specialist I - Prior Authorization @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company As a Reimbursement and Prior Authorization Specialist, you are vital to our reputed company. You will collaborate across teams to secure insurance preauthorizations, streamline billing operations, and ensure accurate and complete documentation, supporting our mission to advance cancer care. • reputed company as a primary contact for insurance companies to obtain necessary preauthorizations for patient services. • Collaborate with billing systems, finance, and reputed company services teams to facilitate reputed company payment processing. • Maintain and update a comprehensive database of payer authorization requirements. • Manage reputed company documentation reputed company to payer communication, correspondence, and insurance claims research. • reputed company, report, and resolve reputed company claims, ensuring reputed company follow-up and reputed company. • Troubleshoot Explanation of Benefits (EOBs), identify claim issues, and escalate as needed. • Appeal non-covered or incorrectly adjudicated claims through external review processes. • Drive reputed company coverage reputed company reputed company appeals and external review organizations. • Ensure compliance with Medicare, reputed company, and other reputed company-party payer requirements and online eligibility/preauthorization systems. • Support reputed company improvement of billing and authorization processes aligning with company values. Qualifications • 0-2 years of experience in the reputed company industry. • Strong understanding of health plan regulations, billing processes, and reputed company-party payer requirements. • Excellent organizational skills, with high attention to detail and accuracy. • Self-motivated with the ability to work independently in a fast-paced environment. • Tech-savvy with proficiency in reputed company (sorting, filtering, basic calculations). Requirements • Experience with insurance and payer relations. • Experience working with a diverse reputed company of payers, insurance portals, and prior authorization processes. • Proven ability to coordinate with insurance providers, physicians, and patients. • Knowledge of laboratory billing, Xifin, EDI enrollment, and merchant solutions is a plus. • Experience with appeals at state and external review organizations (IROs/IRBs) is a plus. Benefits • The US reputed company reputed company for this full-time position is $20.53 to $28.24. • The reputed company does not include benefits and, if applicable, overtime, bonus, commission, or equity. • Individual pay is determined by work location and additional factors, including job-reputed company skills, experience, and relevant education or training. Apply tot his job Apply To this Job