Authorization Specialist I (Remote)>

Employer Industry: Healthcare ServicesWhy Consider This Job Opportunity Opportunity for career advancement and growth within the organization Supportive and collaborative work environment Chance to make a positive impact on patient financial understanding and access to care Work closely with various departments to ensure seamless patient service Engage directly with patients to educate them on their financial responsibilitiesWhat To Expect (Job Responsibilities) Complete the financial clearance process by interviewing patients and collecting necessary information for pre-registration Verify insurance eligibility and educate patients regarding their coverage Initiate treatment authorization requests and manage referrals per payor guidelines Process prior authorization appeals and denials in collaboration with revenue cycle and clinical staff Educate patients on co-payments, co-insurance, and deductibles as part of point of service collectionsWhat Is Required (Qualifications) Four or more years of experience in revenue cycle, insurance verification/eligibility, or related areas in a healthcare setting Experience with practice management software, hospital billing software, or electronic health record software Knowledge of insurance terminology, plan types, structures, and approval types Proficiency in computer systems, including Microsoft Office 365How To Stand Out (Preferred Qualifications) Experience with referrals and/or prior authorization processes Familiarity with Epic software Knowledge of medical terminology and clinical documentation review#HealthcareServices #RevenueCycle #PatientAccess #FinancialClearance #CareerOpportunityWe prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.Home Health Focus AI helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.