Authorization Specialist
1 week ago
KPC Global MSO seeks a skilled Authorization Specialist to ensure timely verification and validation of authorizations for Commercial and Managed care inpatients and other services.
Key Responsibilities:
- Verify and validate authorizations for Commercial and Managed care inpatients and other services.
- Contact insurance companies to secure authorization.
- Review discharged managed care patients for evidence of authorization entry.
- Obtain missing authorizations within 3 business days of patient's discharge.
- Check bill hold weekly for pending authorizations.
- Assist with sending delinquent reviews and resending reviews not received by payors.
- Communicate effectively with Case Management and other departments.
- Maintain analysis of authorization issues by payer.
- Report monthly summary for authorization issues to senior leadership.
- Document all contacts and authorization information in the hospital system.
- Follow established hospital policies and procedures.
Requirements:
- Strong communication and interpersonal skills.
- Ability to work in a fast-paced environment.
- Knowledge of healthcare authorization processes.
- Ability to analyze and resolve authorization issues.
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Authorization Specialist
1 month ago
Corona, California, United States KPC Global MSO Full timeJob SummaryKPC Global MSO is seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services.Key ResponsibilitiesVerify and validate authorizations for all...
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Authorization Specialist
1 month ago
Corona, California, United States KPC Global MSO Full timeJob SummaryWe are seeking a highly skilled Authorization Specialist to join our team at KPC Global MSO. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.Key Responsibilities:Ensure timely verification and...
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Authorization Specialist
1 week ago
Corona, California, United States KPC Global MSO Full timeJob Summary:KPC Global MSO is seeking a skilled Authorization Specialist to join our team. In this role, you will be responsible for ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.Key Responsibilities:Verify and validate authorizations for all Commercial and Managed...
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