Medical Prior Authorizations Eligibility and benefits perfect English

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TYPE OF WORK

Full Time

SALARY

4.00 to 5.00

HOURS PER WEEK

9

DATE POSTED

Nov 15, 2024

JOB OVERVIEW

NOTE: WORKING TWO JOBS IS GROUNDS FOR IMMEDIATE TERMINATION.
This is a full-time position, and you are required to fulfill your 8-hour day.
If you do not have experience in this field and don't meet the qualifications please do not apply to this job.
We required reference from your last employer, if you are not able to provide reference we will not offer you the position.

Verifying eligibility and insurance benefits
Obtaining pre-certification and authorization
Reviewing medical records
Preparing and submitting authorization requests
Working with healthcare providers
Monitoring and following up
Investigating insurance denials
Resubmitting requests
Appealing when needed
Communicating with patients
Prior authorization representative
Manages insurance authorizations, updates patient eligibility, and maintains work queues. Their duties include:
Obtaining and coordinating authorizations from insurance providers
Verifying patient eligibility
Updating demographic/insurance data.

Four years experience in the medical revenue cycle field.
A bachelor's degree is a must.

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