Medical Authorization Specialist
4 days ago
We are seeking a highly skilled Medical Authorization Specialist to join our team at Med-Metrix International PH-I, Inc. As a key member of our organization, you will play a vital role in ensuring seamless communication with insurance companies to obtain pre-certifications and authorizations for medical services.
In this dynamic position, you will be responsible for:
- Effectively communicating with insurance companies to obtain pre-certifications and authorizations for services.
- Placing calls to various health plans to secure necessary approvals prior to patient appointments.
- Accurately interpreting and relaying clinical information to insurance companies.
- Faxing pre-certification request forms to relevant parties.
- Maintaining confidentiality and security of sensitive patient data.
To succeed in this role, you will need:
- Strong organizational and time management skills to meet productivity standards.
- Excellent communication and interpersonal skills to effectively interact with patients, physicians, and insurance representatives.
- Able to work independently and as part of a team to achieve common goals.
- Knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.
- Proficiency in using electronic health records (EHRs) and other relevant software systems.
Benefits and Qualifications
The ideal candidate will possess:
- A minimum of 1 year of college-level education in a medical-related field.
- At least 2 years of experience in healthcare or physician's office settings, with a focus on pre-authorizations.
- Extensive knowledge of individual payor websites and guidelines.
- Ability to adapt to changing priorities and deadlines.
- Strong analytical and problem-solving skills to resolve claims denials and rejections.
Work Environment
As a Medical Authorization Specialist at Med-Metrix International PH-I, Inc., you will enjoy a dynamic work environment that fosters growth and development. We offer competitive benefits, opportunities for professional advancement, and a collaborative team atmosphere.
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