
Senior Healthcare Authorization Coordinator
1 day ago
Job Opportunity:
We are seeking a skilled Prior Authorization Specialist to support our healthcare division.
The Prior Authorization Specialist will be responsible for obtaining all types of prior authorizations, including biologic medications, procedures, prescriptions and out-patient testing.
Key Responsibilities:
- Review and process prior authorization requests
- Verify insurance information and eligibility
- Handle patient inquiries regarding authorizations
- Provide necessary prior authorization documentation to patients
- Document patient interactions in EMR
- Coordinate with healthcare providers and insurance companies
- Ensure accurate and timely documentation of authorization requests and approvals
- Collaborate with medical billing team to resolve issues or denials
- Maintain knowledge of insurance guidelines and procedures
- Complete other tasks as assigned by providers through EMR/EHR
- Schedule follow-up appointments, injections and treatments
Requirements:
- 3-5 years of experience as a Prior Authorization Specialist
- Strong knowledge of insurance verification processes and payer/billing guidelines
- Excellent communication and interpersonal skills
- Detail-oriented with strong organizational skills
- Ability to work independently and meet deadlines
- Comfortable working in a remote setup
System Requirements:
- Device (Desktop or Laptop)
- Processor:
- Intel Core i5 (or higher) or AMD Ryzen 5 (or higher)
- Apple M1 chip or newer
- Minimum of 8GB or higher for optimal performance
- Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred)
- Mac: macOS compatible with M1 or newer chips
- At least an SSD for faster processing and performance
- Minimum speed of 50 Mbps via a wired connection
- Backup power supply (optional)
Benefits:
- Permanent Work From Home
- Weekly Paychecks
- Fixed Weekends Off
- HMO Reimbursement on your 90th day
- Thriving Company Culture
- Exclusive Specialized Training Programs
- Highly Competitive Salary
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