If you have never written or submitted a mental health prior authorization, please do not apply.

Job Summary

Responsibilities:

Verifying Insurance Coverage: Determining if a patient's insurance plan requires prior authorization for specific services or medications.
Obtaining Authorizations: Submitting requests to insurance companies for approval of medical services, procedures, or medications, and following up on the status of these requests.
Documenting and Tracking: Maintaining accurate records of all authorization requests, communication attempts, and outcomes.
Communicating with Stakeholders: Keeping patients, providers, and insurance companies informed about the status of authorization requests and any required follow-up.
Reviewing Medical Records: Examining patient records to assess the medical necessity of requested services and ensure compliance with insurance guidelines.
Identifying and Resolving Issues: Troubleshooting any issues related to prior authorization, such as denials or delays, and working to resolve them.
Staying Updated: Keeping abreast of changes in insurance policies and procedures related to prior authorization.

Job Types: Full-time, Contract

Pay: $22.73 - $27.38 per hour

Benefits:

Work Location: In person

Empowerment Center

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