Authorization and Appeals Specialist

BioTAB Healthcare
Maryland Heights, MO
Category Administration
Job Description
The Authorization and Appeals Specialist is responsible for filing appeals on all authorization denials and assisting with the Case Processing team. This role involves training, supporting other coordinators, creating medical documents, communicating with insurance companies, and maintaining patient files. A strong understanding of Medicare, Medicaid and commercial health insurance is also required.

Requirements

  • File appeals on all authorization denials
  • Start and follow up on the insurance authorization process
  • Train and support Authorization Coordinators
  • Create medical documents
  • Update patient files with relevant information
  • Communicate with insurance companies
  • Comply with HIPAA and privacy regulations
  • Adhere to laws and best practices in dealing with patients
  • Perform other job-related duties as assigned
]]>