。该工作已被公司管理人员暂停申请，不再接受简历投递

Insurance Authorization Specialist

We are currently seeking an Authorization specialist to join our team. As an Authorization specialist, you will play a vital role in ensuring that all necessary approvals and authorizations are obtained for various processes and activities within the organization.

Responsibilities

The Insurance Authorization Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers
Review chart documentation to ensure the patient meets medical policy guidelines
Prioritize incoming authorization requests according to the urgency
Obtain authorization via the payer website or by phone and follow up regularly on pending cases
Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations
Communicates with the ordering physician and/ or APP in the case of denials that will require rescheduling and/or peer-to-peer review by the ordering physician
Initiate appeals for denied authorizations
Respond to clinic questions regarding payer medical policy guidelines
Confirm the accuracy of CPT and ICD-10 diagnoses in the procedure order
Contact patients to discuss authorization status

Qualifications

Previous experience in pre-authorization/pre-certification and processing of health insurance claims
Medical terminology
Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
Excellent computer skills including Excel, Word, and Internet use
Detail-oriented with above-average organizational skills
Plans and prioritizes to meet deadlines
Excellent customer service skills; communicates clearly and effectively
Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

Schedule

8 hour shift
Night shift
Monday to Friday ((6:00 P.M. to 3:00 A.M.)

技能

Computer HFO Operations Handling Health Care Knowledge

工作详细内容

全部职位:

5 发布

工作时间:

晚班

工作类型:

全职/长期工

工作地址:

卡拉奇, 巴基斯坦

性别:

没有偏好

最低学历:

中级／A级

职位等级:

资深专业人员

电话预约已成功，我们的专家会在短时间内与你联系:

2年

在之前申请:

Jul 07, 2023

发布日期:

Jun 07, 2023

Diversity Inclusion:

We value diversity of our employees. All qualified applicants will receive fair consideration without regard to genders or socio-economic backgrounds.