Medical Authorization Coordinator
2 weeks ago
At Med Supply US, we are seeking a highly skilled Medical Prior Authorization Specialist to join our team. This role plays a crucial part in ensuring that medical services and procedures are approved by insurance companies before they are rendered.
Key Responsibilities- Prior Authorization Management: Review and evaluate medical service requests to determine if prior authorization is required. Gather all relevant medical documentation, such as medical records and test results, to support the authorization request.
- Insurance Verification: Verify patient insurance coverage and obtain necessary insurance information to ensure accurate billing and reimbursement.
- Documentation and Communication: Prepare and submit prior authorization requests to insurance companies, adhering to their specific guidelines and requirements. Maintain accurate and organized records of all authorization requests and outcomes. Communicate with healthcare providers and patients to clarify requirements and provide updates on the status of authorizations.
- Policy and Compliance: Stay up-to-date with insurance policies and industry regulations related to prior authorizations. Ensure compliance with legal and regulatory requirements, including patient privacy and confidentiality (HIPAA).
- Appeals and Denials: Assist with appeals and denials related to prior authorizations, working closely with healthcare providers and insurance companies to gather necessary information and submit appeals within specified timelines.
- Quality Assurance: Perform periodic audits of prior authorization processes to identify gaps or inefficiencies. Collaborate with team members to implement process improvements and enhance overall efficiency and accuracy.
- High school diploma or equivalent.
- Prior experience in healthcare administration, medical billing, or insurance coordination is highly preferred.
- 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 and attention to detail.
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Medical Prior Authorization Specialist
4 weeks ago
Manila, National Capital Region, Philippines Med Supply US Full timeJob Title: Medical Prior Authorization SpecialistAt Med Supply US, we are seeking a highly skilled Medical Prior Authorization Specialist to join our team. As a key member of our healthcare team, 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...
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Prior Authorization Specialist
3 weeks ago
Manila, National Capital Region, Philippines SYNTEL INFOTECH, INC. doing business as Atos Syntel Full timeObtain Prior Authorizations for medical services, including medications, diagnostic imaging, and treatments. Communicate with insurance companies, providers, and healthcare teams to obtain approvals for services. Accurately document interactions and outcomes in patient records and authorization tracking systems.Key Responsibilities:Obtain Prior...
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Prior Authorization Specialist
4 weeks ago
Manila, National Capital Region, Philippines SYNTEL INFOTECH, INC. doing business as Atos Syntel Full timeObtain Prior Authorizations for Radiology Services, ensuring compliance with insurance policies and procedures, and coordinate with healthcare teams to provide timely patient care.
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3 weeks ago
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Medical Office Coordinator
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3 weeks ago
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4 weeks ago
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Head - Medical Support Center
3 weeks ago
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