Medical Authorization Specialist

1 month ago


Birmingham, Birmingham, United Kingdom Entalabama Full time

The Medical Authorization Specialist will be responsible for ensuring seamless prior authorization processes for all procedural orders. To achieve this, the ideal candidate will have two years of experience in a medical-related field and a high school diploma or equivalent. Prior authorization experience is highly preferred.

Key Responsibilities:
  • Review chart documentation to verify patient eligibility for medical policy guidelines
  • Prioritize incoming authorization requests based on urgency
  • Obtain authorization through payer websites or phone calls and follow up on pending cases
  • Maintain individual payer files with up-to-date requirements for successful authorizations
  • Provide guidance to clinics on payer medical policy guidelines
  • Verify accuracy of CPT and ICD-10 diagnoses in procedure orders
  • Communicate with patients regarding authorization status
  • Perform other duties as assigned
Our Full-Time Employee Benefits Include:
  • Paid time off (PTO)
  • Holiday PTO
  • 401(k) plan
  • Profit sharing plan

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