Medical Billing Authorization US

As an Authorization Specialist at Zen Medical Services, your role is crucial in obtaining prior authorization from insurance companies for medical services. Your primary responsibilities include: - **Obtain prior authorizations:** Submit requests to insurance providers to ensure coverage under the patient's plan. - **Verify insurance eligibility:** Confirm the patient's insurance plan is active and benefits are valid. - **Manage referrals:** Facilitate patient referrals to specialists. - **Data entry and tracking:** Accurately enter and track data related to authorization requests. - **Documentation management:** Collect and organize all necessary patient and medical information. - **Communication:** Clearly communicate with insurance companies, healthcare providers, and patients. - **Compliance:** Stay updated with regulations and ensure processes comply with laws and insurance policies. To excel in this role, you should possess: - **Understanding of medical billing:** Familiarity with the medical billing cycle, CPT codes, diagnosis codes, and claim submission. - **Strong communication skills:** Ability to effectively communicate with various stakeholders. - **Attention to detail:** Meticulous attention to detail is essential for handling complex information. - **Problem-solving skills:** Ability to navigate and resolve issues during the authorization process. - **Technical and administrative skills:** Proficiency in relevant software and systems for medical billing and patient management. At Zen Medical Services, we focus on optimizing revenue and reducing administrative challenges for healthcare providers through accurate medical billing processes. Our proactive approach to claim management and emphasis on compliance ensure efficient and reliable services for our clients.,