L4 – Chapter Leader (prior Authorization)

Job Summary We are seeking a skilled Medical Billing Specialist with experience in prior authorization to join our team The ideal candidate will be responsible for managing the prior authorization process ensuring timely and accurate approvals for medical services and procedures Key Responsibilities Prior Authorization Manage and process prior authorization requests for medical services and procedures ensuring all necessary documentation is submitted accurately and promptly Verification Verify insurance benefits and coverage requirements to determine the need for prior authorization and ensure compliance with payer guidelines Communication Communicate with healthcare providers insurance companies and patients to obtain necessary information follow up on authorization status and resolve any issues Documentation Maintain detailed records of all prior authorization requests approvals and denials ensuring compliance with internal policies and payer r...