Remote Prior Authorization & Eligibility Specialist

GeBBS Healthcare Solutions; United States; A distancia; USD 30.000 - 42.000; Jornada completa

Descripción de la vacante

GeBBS Healthcare Solutions is a leading provider of RCM and related services, seeking an Authorization Representative to cover authorizations for various services and manage status updates.

Key duties include initiating and tracking authorization requests, verifying benefits, ensuring documentation accuracy, and coordinating with payer portals to prevent service gaps and delays in reimbursement.

Formación

• Experience in healthcare Revenue Cycle Management with prior authorization, eligibility and benefit verification.
• Strong understanding of payer timelines, submission processes, and tracking of authorizations.
• Experience with CPT codes and how they relate to authorization requirements.

Responsabilidades

• Initiate, submit, and track prior authorization requests across commercial and managed care payers.
• Verify patient eligibility and benefits prior to authorization submission.
• Monitor pending authorization requests and document authorization details and CPT codes.

Conocimientos

Attention to detail

Analytical skills

Multi-tasking

Communication

Educación

CPC certification

Herramientas

Availity

NaviNet

Payer portals

Descripción del empleo

GeBBS Healthcare Solutions is a leading provider of RCM and related services, seeking an Authorization Representative to cover authorizations for various services and manage status updates.

Key duties include initiating and tracking authorization requests, verifying benefits, ensuring documentation accuracy, and coordinating with payer portals to prevent service gaps and delays in reimbursement.