Healthcare Specialist
4 days ago
The Healthcare Specialist will be responsible for providing clinical support to healthcare facilities and insurance companies. This includes coordinating preauthorizations, managing documentation, and following up on authorization requests.
Key Responsibilities:
- Coordinating Preauthorizations:
• Prepare and submit necessary paperwork and documentation to insurance companies for prior authorizations and continuing stay authorizations.
• Ensure accuracy and completeness of documentation for all levels of care. - Documentation Management:
• Maintain meticulous records of all communications, authorizations, and follow-ups.
• Update tracking systems or logs with the status of each request, including approvals, denials, and pending items. - Follow-Up on Authorizations:
• Track all submitted authorization requests to ensure timely responses from insurance providers.
• Communicate authorization outcomes to facilities and provide necessary documentation for billing purposes.
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