Authorization and Denial Specialist
1 day ago
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
- 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)
- 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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