Description Overview:As an Insurance Authorization Coordinator, you will play a crucial role in facilitating the authorization process for medical procedures and treatments. You will work closely with healthcare providers, insurance companies, and patients to ensure that necessary authorizations are obtained efficiently and accurately. This role requires strong organizational skills, attention to detail, and excellent communication abilities to navigate complex insurance procedures and advocate for patients' healthcare needs.Responsibilities:
Authorization Management: Handle the entire authorization process from initiation to completion, including gathering necessary documentation, completing forms, and submitting requests to insurance companies.
Verification and Eligibility: Verify patients' insurance coverage and eligibility for specific procedures or treatments, ensuring that services rendered are covered by the patient's insurance plan.
Communication: Serve as the primary point of contact between healthcare providers, insurance companies, and patients regarding authorization status, requirements, and any additional documentation needed.
Documentation: Maintain accurate records of all authorization requests, approvals, denials, and appeals, ensuring compliance with legal and regulatory requirements.
Problem Resolution: Proactively identify and address any issues or discrepancies in the authorization process, working with insurance companies and healthcare providers to resolve challenges and expedite approvals.
Patient Advocacy: Advocate on behalf of patients to ensure timely authorization for necessary medical procedures or treatments, providing guidance and support throughout the authorization process.
Compliance: Stay updated on insurance regulations, policies, and procedures to ensure adherence to industry standards and compliance with relevant laws and guidelines.
Team Collaboration: Collaborate with healthcare providers, administrative staff, and other members of the healthcare team to streamline the authorization process and enhance overall efficiency.
Requirements
Conclusion: MUST have medical / insurance verification experience. The role of an Insurance Authorization Coordinator is essential in ensuring that patients receive timely access to necessary medical care by navigating the complexities of the insurance authorization process. If you possess strong organizational skills, attention to detail, and a passion for helping others access healthcare services, this role offers a rewarding opportunity to make a meaningful impact in the healthcare industry.Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .