Job Title: Authorization Specialist
Job Type: Full-Time, Remote
Working Hours: US Hours (9am-5pm EST)
Key Responsibilities
- Request and secure prior authorizations from insurance companies for medically necessary services.
- Maintain meticulous records of authorization requests and follow up on pending approvals to avoid delays in patient care.
- Communicate effectively with healthcare providers, patients, and insurance representatives to resolve authorization issues.
- Stay informed about payer policies and requirements to ensure compliance and optimize authorization processes.
- Educate patients and providers on authorization-related matters, helping them understand the importance of this process.
- Document all interactions and outcomes in the electronic health record (EHR) system accurately.
Requirements
- Associate's degree in healthcare administration or a related field; Bachelor's degree preferred.
- Previous experience in authorization, prior authorizations, or a related administrative healthcare role.
- Strong knowledge of medical billing, coding, and insurance protocols.
- Excellent organizational and multitasking abilities, with keen attention to detail.
- Outstanding verbal and written communication skills for effective interaction with stakeholders.
- Proficient in EHR systems and common office software.
- Ability to work independently in a remote environment while managing time efficiently.
Benefits
- Comfortable working U.S. hours
- Remote work from home
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