Authorization Rep

TALENT Software Services; Roseville (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

TALENT Software Services is seeking an onsite Administrative Authorization Specialist to support patient care operations. You will verify patient eligibility, coordinate benefits, and ensure insurance coverage for services.

The role includes determining if prior authorization is needed, obtaining the required approvals, and documenting them in the electronic medical record. You will respond to patient inquiries about authorizations and maintain turnaround standards.

Responsibilities

• Verify patient eligibility and coordinate benefits.
• Ensure comprehensive insurance coverage for services.
• Determine the necessity of prior authorization for orders.
• Obtain and document authorizations efficiently in the patient's electronic medical record.
• Facilitate prompt responses to patient inquiries regarding authorizations, adhering to turnaround standards.

Job description

Position Overview

This onsite role is crucial for ensuring smooth administrative operations by verifying patient eligibility, coordinating benefits, and managing insurance coverage. The position involves determining if prior authorization is necessary for orders, obtaining the required authorizations, and documenting them in the patient's electronic medical record.

Key Responsibilities

• Verify patient eligibility and coordinate benefits.
• Ensure comprehensive insurance coverage for services.
• Determine the necessity of prior authorization for orders.
• Obtain and document authorizations efficiently in the patient's electronic medical record.
• Facilitate prompt responses to patient inquiries regarding authorizations, adhering to turnaround standards.