Authorization and Denial Specialist

1 day ago


Garden Grove, California, United States Titanium Healthcare Full time
Job Title: Authorization & Denial Specialist

At Titanium Healthcare, we are seeking a highly skilled Authorization & Denial Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for obtaining, monitoring, and documenting authorizations within our electronic health record (EHR) system.

Key Responsibilities:
  • Ensure timely verification and validation of authorizations for all managed care patients and other services
  • Contact insurance companies or validate within website to secure authorization
  • Identify and obtain any missing authorizations before month end
  • Monitor missing and expiring authorizations
  • Collaborate with market leaders on issues related to missing authorizations
  • Review denial report and work with revenue cycle team to clear outstanding issues
  • Maintain analysis of authorization issues, by payor, and report monthly summary for authorization issues
  • Partake in new client onboarding and play an active role in understanding the payor guidelines and requirements for authorization
  • Document authorization guidelines for all payors
  • Respond to requests and communicate timely (typically less than 24-48 hours)
  • Assist in the creation and review of billing procedures to ensure the company maintains compliance with local, state, and federal regulations
Requirements:
  • High school diploma required
  • Minimum 3+ years of experience working in related field, practice management, and/or medical administration experience required
  • Fluent in English (written and verbal)
What We Offer:
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment
  • Recognition and rewards for outstanding performance


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