Authorization Specialist - Palmdale, United States - Skin and Cancer Institute

Mark Lane

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Mark Lane

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Description

Overview:
We are seeking a detail-oriented and organized individual to join our team as an Eligibility Specialist.

As an Eligibility Specialist, you will play a crucial role in ensuring accurate and timely eligibility determinations for our clients.

This position requires knowledge of medical terminology, coding, and HIPAA regulations.


Duties:


  • Review and verify patient information to determine eligibility for various healthcare programs
  • Collect and analyze necessary documentation to support eligibility determinations
  • Communicate with patients, healthcare providers, and insurance companies to gather required information
  • Enter data into electronic systems accurately and efficiently
  • Maintain confidentiality of patient information in accordance with HIPAA regulations
  • Stay uptodate on changes in eligibility requirements and managed care policies
  • Collaborate with other team members to resolve eligibility issues and ensure smooth operations

Experience:


  • Previous experience working in an office setting, preferably in a medical or dental office
  • Familiarity with medical terminology, ICD10 coding, and medical records
  • Knowledge of managed care programs and eligibility guidelines
  • Strong attention to detail and ability to maintain accuracy while working with large volumes of data
  • Excellent communication skills, both written and verbal
  • Proficient computer skills, including experience with electronic medical records systems
We offer competitive pay based on experience and qualifications. This is a full-time position with regular business hours.

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