Authorization Specialist Pre-Cert Division- Remote
Current- Call insurance companies and obtain benefits- Insurance portal access- Respond to phone calls and emails regarding request process- Works directly with multiple insurance websites submitting authorization online request- Uses available tools to ensure the appropriate level of benefit, pre-certification and authorization details obtained- Enter correct ICD -10 codes for medical authorization- Assists in gathering documents for authorization requests- Responsible for noting all accounts in patient account and noting any additional information needed regarding authorization- Enters and update referrals as required- Notifies the patients, physicians of any financial responsibility of services provided and services that are out of pocket cost- Follow up on the status of authorization request to ensure number of visits approved by insurance company- Fax clinicals to insurance company to obtain authorization- Maintain patient and hospital confidentiality