Healthcare Authorization Specialist

We are seeking a detail-oriented Healthcare Authorization Specialist to join our team in Tamil Nadu. The ideal candidate will have a strong background in US healthcare systems and a thorough understanding of the prior authorization process. This role is crucial in ensuring that patients receive the necessary medical services while adhering to insurance guidelines and regulations. Key Responsibilities: - Review and process prior authorization requests for medical services and procedures. - Verify patient eligibility and benefits with insurance providers. - Utilize coding systems such as ICD-10, HCPCS, and CPT to ensure accurate documentation and billing. - Communicate effectively with healthcare providers, patients, and insurance companies to resolve any issues related to authorization and eligibility. - Maintain accurate records of authorization requests and outcomes in compliance with healthcare regulations. - Stay updated on changes in healthcare policies and insurance requirements to ensure compliance and efficiency in the authorization process. Required Skills: - Strong knowledge of prior authorization processes and US healthcare systems. - Proficiency in medical coding, including ICD-10, HCPCS, and CPT. - Experience with insurance verification and patient eligibility checks. - Excellent communication and interpersonal skills to interact with various stakeholders. - Detail-oriented with strong organizational skills to manage multiple requests efficiently. If you are passionate about improving patient care through effective authorization processes and have the required skills and experience, we encourage you to apply for this exciting opportunity.
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