Prior Authorization Coordinator

4 months, 2 weeks ago
Full-time
Junior
Customer and Technical Support
Remote Raven

Remote Raven

Remote Raven connects clients with highly qualified virtual assistants to quickly fill positions, enabling businesses to focus on core activities with no start-up fees.

Professional Services
11-50

Description

  • Review patient insurance policies and determine prior authorization requirements based on CPT codes for upcoming surgical procedures.
  • Initiate prior authorization requests through provider portals, phone calls, or fax submissions.
  • Track submitted authorization requests and follow up until approvals are obtained.
  • Attach approved authorizations to patient records and link them to scheduled appointments.
  • Prepare and submit appeals for denied or reconsidered authorization requests.
  • Communicate with patients to explain the prior authorization process or request additional information when needed.
  • Document all prior authorization activities accurately in patient charts to keep the care team informed.
  • Monitor Microsoft Teams messages for questions, clarifications, and appointment updates that may affect authorization status in real time.

Requirements

  • This is a full-time role.
  • Up to $6/hr compensation.
  • Strong attention to detail and organizational skills.
  • Effective verbal and written communication skills.
  • Proficiency with Microsoft Teams, Outlook, and Excel preferred.
  • Strong problem-solving and resolution skills.
  • Ability to multitask across multiple computer-based information systems.
  • Ability to work independently and stay productive in a self-directed environment.
  • Understanding of prior authorization workflows and CPT code-based insurance requirements.

Interested in this position?

Apply directly on the company website

Apply Now

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