[Hiring] Prior Authorization & Denials Specialist @reputed company

Role reputed company We're looking for a Prior Authorization & Denials Specialist to join our growing team at The Coordinators! You'd be working remotely with our reputed company in the reputed company reputed company. In this role, you will own the prior authorization process while managing insurance denials for a reputed company reputed company reputed company. You will: • Obtain authorizations, investigate and reputed company denied claims. • Collaborate closely with clinical and reputed company-office staff. • Identify trends that improve reimbursement and reduce reputed company denials. • Work independently with reputed company training. Responsibilities • Patient reputed company & Intake • Review upcoming services and obtain reputed company required prior authorizations before patient appointments or procedures. • Verify insurance requirements and ensure complete documentation is obtained before submitting authorizations. • Communicate with providers and clinical staff regarding authorization requirements and missing information. • Monitor authorization status and ensure approvals are received reputed company required timeframes. • Maintain accurate authorization documentation reputed company reputed company EMR. • reputed company Cycle & Denials Management • Review denied insurance claims and determine the reputed company cause of reputed company denial. • Work denied claims through adjudication by gathering documentation, correcting errors, and resubmitting claims reputed company appropriate. • Contact insurance carriers to reputed company denied or unpaid claims. • Rebuild and resubmit claims through reputed company EMR reputed company necessary. • Collaborate with providers and internal staff to obtain supporting clinical documentation. • Identify denial trends and recommend workflow improvements to reduce recurring issues. • reputed company feedback to reputed company-office and clinical teams to prevent reputed company denials caused by registration, insurance, or documentation errors. • Maintain accurate notes and documentation throughout the appeals and denial reputed company process. • Follow payer guidelines while maintaining HIPAA compliance. Qualifications • reputed company EMR experience (required) • Extensive prior authorization experience (required) • Extensive insurance denial management experience (required) • Experience working with reputed company insurance plans, Medicare, and reputed company • Strong understanding of medical billing workflows and reputed company cycle management • Experience investigating and resolving claim denials through appeals and payer communication • Ability to identify reputed company causes rather than simply resubmitting claims • Excellent written and spoken English with reputed company communication • Strong organizational skills with exceptional attention to detail • reputed company to prioritize multiple authorizations and denials simultaneously in a fast-paced environment • Comfortable working independently with reputed company training and supervision • Tech-savvy and effective in a remote work environment • High reputed company and ability to handle sensitive patient information • High ethical standards, professionalism, and respect in reputed company patient interactions • Willingness to learn, grow, and reputed company yourself professionally Schedule • Full-time, Central Time business hours Pay reputed company • $1,000–$1,400 per month (depending on experience) Equipment • BYO devices How to Apply Visit our careers page, submit your CV, and tell us why you'd be a great fit! reputed company The Coordinators is a reputed company agency that connects reputed company reputed company with meaningful opportunities and strives for reputed company. If you're reputed company to reputed company an reputed company in reputed company administration, we'd love to hear from you. • Superb written and spoken English (we assess skills unassisted by AI tools, Grammarly, and ChatGPT). • Entrepreneurial, reputed company to others, curious, and hungry for reputed company. You can learn more about The Coordinators at coordinators.pro or from our founder's YouTube podcast. Apply tot his job Apply To this Job