Healthcare Access Consultant

7 days ago


Sandy Springs, United States Avery Partners Full time

Avery Partners is seeking a highly skilled Prior Authorization Specialist to support our clients nationwide.

The ideal candidate will have 3-5 years of experience in prior authorization, data entry, and typing skills. Proficiency in CPT and ICD-10 codes is also required.

Estimated Salary: $70,000 - $90,000 per year

Responsibilities:

  • Obtain and review insurance authorizations and referrals
  • Verify benefits with insurance providers
  • Monitor and track patient authorizations
  • Maintain logs and reports according to professional, state, and federal requirements
  • Assist patients with authorization documents
  • Review chart documentation
  • Prioritize incoming authorization requests
  • Obtain authorizations via payer websites or by phone
  • Maintain individual payer files
  • Initiate appeals for denied authorizations
  • Respond to clinic questions
  • Confirm accuracy of CPT and ICD-10 diagnoses
  • Contact patients to discuss authorization status

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