Authorization Specialist

Company: VirtualVocations
Location: Toms River
Posted on: November 14, 2024

Job Description:

A company is looking for an Authorization Specialist to obtain benefits and authorizations for various medical services.

Key Responsibilities

Collaborates with healthcare providers to ascertain appropriate authorizations based on medical necessity
Communicates with insurance companies to verify benefits and obtain precertification approvals
Reviews and monitors schedules to ensure proper authorizations are received prior to patient visits

Required Qualifications and Education

High School Diploma/GED with specialized training in insurance, coding, billing, or similar healthcare certificate programs
1 year of experience in a healthcare setting with insurance verification/authorizations
Familiarity with billing procedures and payer reimbursement
Knowledge of patient rights and laws, including HIPAA
Proficient in utilization management processes and insurance benefit structures

Keywords: VirtualVocations, Toms River , Authorization Specialist, Other , Toms River, New Jersey

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