Surgery Authorization Specialist (Full Remote Eligible If Re
About the position
Responsibilities
• Provide full life-cycle management of surgical authorization cases.
• Verify eligibility, investigate insurance benefits and validate coverage.
• Verify insurance process for submission of pre-surgical authorizations.
• Navigate and utilize operational resources to enter and manage authorization requests according to insurance process, urgency and Workflow prioritization.
• Collect documentation based on payor requirements and HIPAA compliant process.
• Evaluate medical documentation for accuracy, requirements and validity and submit to insurance for prior authorization.
• Follow-up with insurance companies and customers according to operational requirements.
• Other duties as assigned.
Requirements
• Bachelors or Equivalent Work Experience
• 2-3 years of experience ideally working with health insurance, including knowledge of CPT-4 and ICD-10 codes
• Experience in insurance eligibility and benefit verification
• Understanding of insurance and healthcare billing processes.
Benefits
• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• 401(K) matching with immediate vesting
• Paid Time Off
• Tuition reimbursement
• Maternity leave
• Paternity leave
• Employee Stock Purchase Plan
• Pet insurance
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