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
