Insurance Authorization Agent

4 weeks ago


Roseville, California, United States Collabera Full time
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Customer Service Representative

Contract Type: Temporary

Location: Remote

Salary: $20.00 Per Hour

Job Code:

End Date:

Days Left: 28 days, 3 hours left

Position Overview:

The role of the Customer Service Representative is pivotal in ensuring seamless patient access to medical services. This position involves working closely with healthcare providers and insurance companies to facilitate necessary authorizations for treatments.

Key Responsibilities:
  • Verify insurance coverage for patients and communicate any discrepancies to management.
  • Assess prior authorization requirements and initiate requests as needed.
  • Gather and organize necessary documentation, including clinical notes, to support authorization requests.
  • Maintain regular follow-ups to track the status of authorization requests throughout the approval process.
  • Possess a foundational understanding of payer payment processes, particularly focusing on prior authorization protocols.
  • Demonstrate familiarity with ICD9/10 and CPT coding, with an emphasis on specific therapy codes.
  • Exhibit exceptional customer service abilities, effectively communicating with a variety of stakeholders, including healthcare professionals and insurance representatives.
  • Utilize advanced skills in MS Excel and adapt to various CRM software as required.
  • Display strong organizational capabilities, managing multiple inquiries simultaneously while applying critical problem-solving skills.
Essential Qualifications:
  • Experience in customer service.
  • Knowledge of prior authorization processes.
  • Understanding of insurance benefits and eligibility.
Company Overview:
Collabera is dedicated to providing top-tier support in the healthcare sector, ensuring that patients receive the necessary services without unnecessary delays. We value teamwork, communication, and a commitment to excellence in patient care.
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