Prior Authorization Specialist: Medical Insurance Coordinator
4 days ago
**Job Title:** Prior Authorization Specialist: Medical Insurance Coordinator
About Med Supply US:
We are a leading medical supply company dedicated to providing high-quality products and services to healthcare professionals. Our team is passionate about delivering exceptional customer service and ensuring that our customers receive the best possible care.
Salary Range:$60,000 - $80,000 per year, depending on experience and location.
Job Description:
We are seeking an experienced Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will play a crucial role in ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed.
Main Responsibilities:
- Review and evaluate medical service requests, including procedures, tests, surgeries, and medications, to determine if prior authorization is required.
- Verify patient insurance coverage, including benefits, eligibility, and limitations.
- Prepare and submit prior authorization requests to insurance companies or third-party payers, adhering to their specific guidelines and requirements.
- Maintain accurate and organized records of all authorization requests, follow-up activities, and outcomes.
- Communicate with healthcare providers, insurance companies, and patients to obtain additional information, clarify requirements, and provide updates on the status of authorizations.
Requirements:
- Bachelor's degree in a related field (healthcare administration, medical billing, etc.).
- Prior experience in healthcare administration, medical billing, or insurance coordination.
- Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and insurance procedures.
- Familiarity with insurance plans, prior authorization requirements, and reimbursement processes.
- Excellent communication skills, both written and verbal.
- Attention to detail and ability to organize and prioritize tasks in a fast-paced environment.
What We Offer:
- A competitive salary range ($60,000 - $80,000 per year).
- Ongoing training and professional development opportunities.
- A dynamic and supportive work environment.
- The chance to make a real difference in people's lives.
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