Experience processing authorization requests for medications, procedures, office visits via payer website or by phone and follow-up regularly on pending cases
Processing includes data entry of authorization number, number of visits and expiration date
Review external referrals brought in by patients or sent by PCPs to verify all dates are valid and referral is written correctly for services requested
Knowledge of authorizations and its direct impact on practice’s revenue cycle
Understanding of payer medical policy guidelines to manage authorizations effectively
Knowledge of ICD-10 and CPT codes
Good communication skills and above average organizational skills