Prior Authorization Specialist
5 days ago
Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.
We are currently looking for a Prior Authorization Specialist who will be working with Connext's Client in the United States of America.
What's in it for you?
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- Annual Merit Increase
- 25% Night Differential
- Php 10,000 Sign-On Bonus
What is the job?
The Prior Authorization Specialist is responsible for conducting insurance verifications and obtaining prior authorizations for a diverse range of therapy services, including Physical Therapy, Occupational Therapy, Speech Therapy, Autism Therapy, and Outpatient Behavioral Health. This role requires a knowledgeable, organized, and professional individual with excellent communication skills to ensure timely processing and compliance with insurance requirements.
Screening Criteria:
- Work Set-up: ONSITE (Ortigas)
- Minimum of one (1) year of experience with medical billing and/or understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusions.
- Must have a stable employment history.
- Strong understanding of insurance policies and medical billing processes including CPT coding.
- Familiar with provider software, including Electronic Medical Record Systems (EMR/EHR) and Practice Management Systems (PMS).
- Experienced with HMOs, PPOs, POSs, EPOs, Medicare, Medicaid, and understanding of each through the referral and authorization process.
Responsibilities:
- Verify patient eligibility and benefits via portal and/or phone call, including collecting referral and authorization requirements, across multiple payers, states, insurance products, and specialties within customer SLAs.
- Work closely with providers to collect accurate patient and medical records and communicate authorization decisions.
- Expeditiously complete prior authorizations using insurance portals or by calling insurers directly.
- Ensure authorization is approved in a timely manner by following up with insurers and providing additional information.
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