Medical Insurance Authorization Specialist

Valley ENT • Visalia, CA

2d

About The Position

The Medical Insurance Authorization Specialist is responsible for obtaining and verifying insurance authorizations for medical procedures and services. This role involves reviewing medical records, ensuring compliance with coding and billing requirements, and communicating with various stakeholders to gather necessary information. The specialist will utilize knowledge of ICD-9 codes and medical terminology, maintain patient confidentiality in accordance with HIPAA, and collaborate with the billing department to resolve any authorization-related issues.

Requirements

• Previous experience working in a medical office or healthcare setting
• Strong understanding of medical coding and billing processes
• Familiarity with managed care and insurance verification procedures
• Proficient in using electronic medical record systems and other office software
• Excellent communication skills, both written and verbal
• Attention to detail and ability to prioritize tasks effectively

Responsibilities

• Obtain and verify insurance authorizations for medical procedures and services
• Review medical records and documentation to ensure compliance with coding and billing requirements
• Communicate with healthcare providers, insurance companies, and patients to gather necessary information for authorization process
• Utilize knowledge of ICD-9 codes and medical terminology to accurately complete authorization requests
• Maintain confidentiality and adhere to HIPAA regulations when handling sensitive patient information
• Collaborate with the billing department to resolve any authorization-related issues or discrepancies

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed