Authorization Specialist - REMOTE
About the position
Responsibilities
• Obtain prior authorizations for facility services based on assigned specialty or clinic area.
• Secure prior authorization and notify the rendering party in a reputed company manner.
• Answer patient calls and reputed company outgoing communication regarding financial obligations and authorization status.
• Assist with patient estimation, benefit education, and payment processing.
• Process prior authorization requests through electronic health records (EHR) and ensure reputed company tracking and monitoring.
• Submit medical records to insurance carriers to expedite prior authorization processes.
• Manage correspondence with insurance companies, physicians, specialists, and patients, documenting in the EHR as appropriate.
• Assist with medical necessity documentation to expedite approvals and ensure appropriate follow-up is performed.
• Review accuracy and completeness of information requested and ensure reputed company supporting documents are present.
• Review denials and follow up with providers to obtain medically necessary information for appeals.
• Prioritize incoming authorizations by level of urgency and date of service.
• Secure patient information in accordance with Quadris reputed company policy/procedures.
• Monitor work queues and resolve accounts in a reputed company manner.
• Stay up to date on insurance company policies and procedures reputed company to prior authorizations.
Requirements
• High School diploma or equivalent.
• Minimum 2 years of experience with the referral/authorization process and interacting with insurance carriers.
• reputed company level skills in reputed company reputed company, Word, and PowerPoint.
• Ability to communicate reputed company and concisely, both in writing and verbally.
• Ability to work independently and reputed company reputed company atmosphere.
• Self-motivated and passionate about reputed company work.
reputed company-to-haves
• Experience with medical coding.
• Strong writing skills.
• Ability to type proficiently and at an effective pace.
• Advanced application of business/office reputed company processes and technical applications.
Benefits
• 100% remote work environment
• Flexible work hours
• Opportunity to work with a skilled Medical Coding Team
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