Medical Authorization Specialist
il y a 4 semaines
About the Role
We are seeking a highly skilled Authorization and Billing Specialist to join our team at Rooted Life. As a key member of our financial operations, you will be responsible for ensuring the smooth and efficient processing of medical authorizations and billing.
Key Responsibilities
- Collect and review patient demographic and insurance data for authorization purposes.
- Manage and submit necessary documentation and diagnoses for authorizations.
- Provide daily updates on authorization request status to ensure optimal service delivery.
- Focus on maximizing reimbursement through meticulous billing and coding for all services rendered.
- Manage the full claims process in our EHR, from creation to follow-up, handling insurance inquiries with expertise.
- Uphold the strictest confidentiality and adhere to all HIPAA regulations.
- Confirm and document patient health insurance details, including effective dates, network status, and coverage requirements.
- Utilize problem-solving skills to address any issues arising from insurance coverage or prior authorizations.
- Stay updated with contract limitations and details for each Managed Care Plan (MCP) and informed about the services and programs offered by Rooted Life.
Requirements
- At least 5 years of experience in an Authorization and/or Medical Billing role within the Healthcare industry.
- Working knowledge of Medical Billing, Revenue Cycle Management (RCM), and Insurance Authorizations, with experience in developing processes in one or all of these areas.
- Strong analytical skills and comfort with numerical data.
- Highly goal-driven and able to work well in fast-paced environments.
- Strong attention to detail and delivery of high-standard work.
- Knowledge of insurance verification, prior-authorization, and office coordination.
About Rooted Life
Our client is a compassionate and innovative organization operating in California, dedicated to aiding those experiencing homelessness, recovering from hospital stays, or facing housing challenges. Their mission is to guide individuals through the journey of finding and securing safe, stable homes. They provide essential services including financial assistance for initial housing costs and ongoing support to maintain stable living situations.
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