Insurance Authorizations Specialist - Mission Viejo - Alura Workforce Solutions

    Alura Workforce Solutions
    Alura Workforce Solutions Mission Viejo

    1 week ago

    Description
    Job Overview
    As an Insurance Authorizations Specialist at Alura Workforce Solutions

    The position requires coordinating and obtaining insurance authorizations for surgical procedures diagnostic imaging office visits ensuring timely accurate approvals that support uninterrupted patient care Key Responsibilities Obtain prior authorizations surgeries imaging studies MRI CT specialty consultations Verify patient insurance eligibility benefits upcoming services Communicate with carriers confirm coverage criteria authorization requirements Submit clinical documentation CPT ICD-10 codes medical necessity information required Track follow up pending authorizations ensure timely approval scheduling Collaborate physicians surgery schedulers billing staff provide updates on status Document all activities clearly accurately EHR scheduling systems Inform patients authorization status responsibility out-pocket estimates Assist resolving denied delayed authorizations including appeal submissions necessary Maintain up-date knowledge payer guidelines pre-certification requirements policy changes
    • High School Diploma or equivalent.
    • Minimum 2 years experience insurance authorization or medical billing specialty office

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    Only for registered members

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  • Work in company

    Prior Authorization Specialist

    Only for registered members

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  • Work in company

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    Only for registered members

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