Authorization Coordinator

13 hours ago

Caloocan City, National Capital Region, Philippines beBeeAuthorization Full time $60,000 - $70,000
Prior Authorization Specialist

As a Prior Authorization Specialist, you will be responsible for streamlining the prior authorization process for medical services, procedures, and medications.

  • Diligently review and process prior authorization requests to ensure timely submissions.
  • Verify insurance information and eligibility to avoid delays or denials.
  • Effectively handle patient inquiries regarding authorizations, providing clear and concise information.

The ideal candidate will possess strong knowledge of insurance verification processes and payer/billing guidelines, excellent communication and interpersonal skills, and the ability to work independently with attention to detail.

Key Responsibilities:
  1. Process prior authorization requests for medical services, procedures, and medications in a timely manner.
  2. Verify insurance information and eligibility to ensure accurate submissions.
  3. Provide necessary prior authorization documentation to patients for completion and signature.
  4. Accurately document all interactions in EMR.
  5. Collaborate with healthcare providers and insurance companies to obtain necessary authorizations.
  6. Ensure accurate and timely documentation of authorization requests and approvals.
  7. Maintain up-to-date knowledge of insurance guidelines and procedures.
  8. Complete tasks as assigned by providers through EMR/EHR.

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