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Administrative Specialist

Administrative Specialist

Aya HealthcareDallas, TX, US
30+ days ago
Job type
  • Full-time
Job description

Pre-Authorization Specialist

We are seeking a Pre-Authorization Specialist to manage prior authorization requests for medical procedures, treatments, and medications. The ideal candidate will have strong attention to detail, excellent communication skills, and a thorough understanding of insurance policies and medical billing processes.

Key Responsibilities :

  • Review and process prior authorization requests for medical services and prescriptions.
  • Verify patient insurance benefits and eligibility.
  • Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
  • Maintain accurate records of authorization approvals and denials.
  • Follow up on outstanding authorizations to ensure timely decisions.
  • Stay up-to-date with changes in insurance policies and regulatory requirements.
  • Assist in training and mentoring new staff on prior authorization procedures.

Qualifications :

  • High school diploma or equivalent (Associate's degree in healthcare administration preferred).
  • Previous experience in medical billing, insurance verification, or prior authorization is a plus.
  • Strong organizational and multitasking abilities.
  • Excellent communication and customer service skills.
  • Proficiency in electronic health records (EHR) and medical billing software.
  • Knowledge of medical terminology and insurance processes.
  • Benefits :

  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • Supportive and collaborative work environment.
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    Administrative Specialist • Dallas, TX, US