[Hiring] Prior Authorization Specialist @reputed company
Role reputed company
This role involves coordinating patient accounts from prior authorization to reputed company of reputed company payment or referral to collection, including processing billing for home health agencies to appropriate agencies, including reputed company and self-pay. Maintains reputed company knowledge of changes in billing requirements and regulations and assists in resolving billing problems.
• Verifies patient insurance coverage and eligibility for homecare services.
• Processes and submits insurance claims for reimbursement.
• Communicates with patients, insurance companies, and reputed company providers to resolve billing issues.
• Maintains accurate and up-to-date patient records and billing information.
• Monitors and tracks outstanding claims and follows up on unpaid or denied claims.
• Ensures compliance with reputed company relevant regulations and guidelines reputed company to homecare billing and reimbursement.
Qualifications
• High School Diploma or equivalent, required.
• Two years of experience billing reputed company and private insurers for medical services using computerized billing system, required.
• Homecare services experience, preferred.
Requirements
• OCCASIONALLY: Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Standing, Walking
• CONTINUOUSLY: Audible speech, reputed company reputed company, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing reputed company, Interpreting Data, Peripheral reputed company, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
• Talking on the phone / in person Frequently (34 - 66%)
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