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Authorization Specialist
4 months ago
Position Overview:
We are seeking a skilled Procedure Authorization Specialist to join our team. The successful candidate will be responsible for managing the insurance authorization process for medical procedures related to pain management. This role requires strong attention to detail, excellent communication skills, and the ability to navigate insurance protocols efficiently.
Key Responsibilities:
1. Coordinate with healthcare providers to gather necessary documentation for insurance authorization requests.
2. Review patient medical records and procedure orders to ensure compliance with insurance requirements.
3. Verify patient insurance coverage and benefits for specific procedures.
4. Prepare and submit authorization requests to insurance companies, adhering to established timelines and guidelines.
5. Communicate with insurance companies to follow up on authorization status and resolve any issues or discrepancies.
6. Maintain accurate records of authorization requests, approvals, and denials.
7. Collaborate with healthcare providers and administrative staff to address insurance-related inquiries or concerns.
8. Stay informed about changes in insurance policies, regulations, and procedures relevant to pain management services.
Qualifications:
1. Previous experience working in a medical office setting, preferably in a pain management or related specialty.
2. Knowledge of medical terminology and procedures, particularly in the context of pain management.
3. Familiarity with insurance verification and authorization processes, including prior authorization requirements.
4. Strong organizational skills with the ability to prioritize tasks and manage multiple deadlines effectively.
5. Excellent communication skills, both written and verbal, with the ability to interact professionally with patients, healthcare providers, and insurance representatives.
6. Proficiency in using electronic medical records (EMR) systems and insurance verification software.
7. Ability to maintain confidentiality and adhere to HIPAA regulations.
Benefits:
- Competitive salary commensurate with experience
- Healthcare benefits
- Retirement savings plan
- Paid time off and holidays
- Opportunities for professional development and advancement
Join our team and make a difference in the lives of patients seeking relief from chronic pain. Apply today to become our Authorization Specialist and contribute to our mission of providing exceptional care and support.