Patient Services Center Representative
Current📌Review and process prior authorization requests for medical services and procedures📌Communicate with healthcare providers and insurance companies to gather necessary information for authorization📌Verify patient eligibility and coverage for requested services📌Utilize clinical knowledge to assess medical necessity and appropriateness of requested services📌Collaborate with healthcare providers to obtain additional clinical documentation as needed📌Document all communication and authorization decisions in the appropriate system📌Stay current on insurance guidelines and policies to ensure accurate and timely authorization📌Provide excellent customer service to healthcare providers and patients, addressing any questions or concerns related to authorization📌Work closely with the clinical team to ensure all authorization requests are handled efficiently and accurately