Authorization Executive

Profile Overview:

• Graduate with 1-3 years Benefit and Authorization Specialist (Verification of Benefits).
• Role focuses on obtaining necessary prior authorizations & Referrals from insurance companies.
• Maintain accurate records of requests and approvals.
• Familiarity with insurance processes and payer guidelines.

Key Responsibilities:

• Manage correspondence with insurance companies, physicians, specialist, and patients as needed, including documenting in the EHR as appropriate.
• Receive requests for prior authorizations through the electronic health record (EHR) and/or via phone or fax and ensure that they are properly and closely monitored.
• Completes accurate and timely third party payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
• Ensures services scheduled by outside providers have approved authorization as required

Preferred candidate profile

Perks and benefits