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Medical Authorization Specialist
Il y a 2 mois
Rooted Life is a pioneering organization dedicated to providing innovative solutions for individuals experiencing homelessness, recovering from hospital stays, or facing housing challenges. Our mission is to empower individuals to find and secure safe, stable homes. We offer essential services, including financial assistance for initial housing costs and ongoing support to maintain stable living situations. Our commitment to these causes has established us as a beacon of hope and support in the community.
Key Responsibilities- Collect and review patient demographic and insurance data as part of the authorization process.
- Collect and submit all necessary documentation and diagnoses needed for authorizations.
- Provide daily updates on the status of authorization requests to ensure optimum service delivery.
- Ensure maximum 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 the patient's 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.
- Keep updated with contract limitations and details for each Managed Care Plan (MCP) and stay informed about the services and programs offered by Rooted Life.
- At least 5 years of experience within a Authorizations and/or Medical Billing role, within the Healthcare industry.
- Working knowledge of Medical Billing, Revenue Cycle Management (RCM) and Insurance Authorizations and have developed processes in one or all of these areas.
- Strong analytical skills and comfortable dealing with numerical data.
- Highly goal-driven and work well in fast-paced environments.
- Strong attention to detail and deliver work that is of a high standard.
- Knowledge of insurance verification, prior-authorization, and office coordination.
- Opportunity within a company with a solid track record of performance.
- Opportunity to make a positive impact.
- Leadership role.
