Virtual Prior Authorization Specialist
New
S
Staffing for DoctorsHealthcare
Nicaragua. Colombia. Guatemala. Honduras. El Salvador. Peru, 9 AM to 5 PM US TimeContractMiddle
Salary6 - 7 USD per hour
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Job Details
- Languages
- Bilingual English/Spanish
- Experience
- Minimum 2 years
Requirements
- Bilingual English/Spanish (Required).
- Minimum 2 years of Prior Authorization experience.
- Strong knowledge of insurance verification and authorization workflows.
- Experience working with Commercial Insurance, Medicare, and Managed Care plans.
- Excellent communication, customer service, and problem-solving skills.
- Strong organizational skills and attention to detail.
- Ability to work independently in a remote environment.
- Experience with Epic and/or Acumen EMR (Preferred).
- Referral coordination experience (Preferred).
- Denials and appeals experience (Preferred).
- Specialty practice experience (Preferred).
- Medical terminology knowledge (Preferred).
- Experience in high-volume healthcare environments (Preferred).
Responsibilities
- Submit and track prior authorizations for procedures, medications, imaging, and specialty services.
- Verify insurance eligibility, benefits, and authorization requirements.
- Follow up with insurance carriers regarding pending authorizations and approvals.
- Process and coordinate incoming and outgoing referrals.
- Communicate authorization updates and insurance information to patients when appropriate.
- Maintain accurate documentation and records within the EMR system.
- Collaborate with providers, clinical staff, and insurance representatives to support patient care.
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