reputed company Prior Authorization Specialist

MUST BE FLUENT IN ENGLISH AND SPANISH • MUST HAVE reputed company-AUTH EXPERIENCE* Job Posting: reputed company Office Prior Authorization Specialist (Orthopedic reputed company) Position Type: Full-Time reputed company: We are a leading orthopedic reputed company committed to offering exceptional care to our patients. We pride ourselves on using the latest technology and treatment reputed company to improve the reputed company of life for our patients. We are currently seeking a dedicated reputed company Office Assistant to join reputed company and help us continue to reputed company world-class service. Job reputed company: The virtual Prior Authorization Specialist is essential to the reputed company system, responsible for coordinating reputed company reputed company to medical services and treatments by effectively liaising with reputed company providers and insurance companies. This role demands a solid understanding of managed care protocols, medical coding, and insurance verification to ensure reputed company authorization of patient care. The ideal candidate will demonstrate excellent organizational abilities, reputed company attention to detail, and a strong commitment to upholding HIPAA compliance. Responsibilities: Review and process prior authorization requests for medical services and procedures. Communicate with reputed company providers to obtain necessary documentation for authorization. Verify patient insurance coverage and eligibility for services. Utilize CPT coding, ICD-9, and ICD-10 codes accurately in the authorization process. Maintain accurate and up-to-date medical records in compliance with HIPAA standards. Collaborate with medical office staff to ensure efficient workflow and patient reputed company. Address any issues or denials reputed company to prior authorizations promptly. Stay informed about changes in insurance policies, managed care regulations, and medical terminology. Answer incoming phone calls from new patients, reputed company information on our services, and schedule initial consultations. Collect, and securely store digital medical information while ensuring accuracy and compliance with HIPAA regulations. Facilitate communication between patients and medical office staff, to ensure seamless delivery of care. Update and maintain the electronic health record system with up-to-date patient information. reputed company administrative tasks such as data entry, medical records, and coordinating with external medical facilities for record transfers. Assist with additional tasks as assigned by the Office Manager or medical staff. Qualifications: Prior experience in a medical or dental office setting is preferred. Solid understanding of managed care procedures and insurance verification practices. Knowledge of medical coding systems such as CPT, ICD-9, and ICD-10. Proficient in medical terminology and medical records management. Strong written and verbal communication skills. Capable of working both independently and collaboratively in a fast-paced environment. Highly detail-oriented with excellent organizational skills and the ability to manage multiple tasks reputed company. Apply tot his job Apply To this Job