Medical Necessity Authorization Expert

6 days ago


Philadelphia, Pennsylvania, United States Nextus Billing Solutions Full time
About the Role

We are seeking an experienced Utilization Review Senior Specialist to join our team at Nextus Billing Solutions. This individual will be responsible for conducting thorough reviews of medical records, preparing documentation, and communicating with insurance carriers to ensure seamless authorization of medical services.

A strong understanding of HIPAA compliance standards is essential, as well as proficiency in utilizing software programs such as Kipu and ZenCharts.

With a focus on delivering exceptional patient care, this role offers a unique opportunity to make a meaningful impact in the healthcare industry.

Estimated Salary: $65,000 - $85,000 per year, depending on location and experience.



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