JobMesh

Prior Authorization Specialist

Pacific Neuropsychiatric Specialists · Irvine, California, US

Benefits: - 401(k) matching - Dental insurance - Health insurance - Paid time off - Vision insurance Job Summary: We are seeking a motivated and like-minded...

Job description

Benefits: - 401(k) matching - Dental insurance - Health insurance - Paid time off - Vision insurance Job Summary: We are seeking a motivated and like-minded Health Information Specialist. This is a full-time, in-office position. The Health Information Specialist will manage and maintain the accuracy, security, and privacy of electronic, and paper-based, medical records, manage data quality, and ensure compliance with legal and industry standards. This person will also be responsible for helping with our prior authorizations department by discussing medications, insurance, and prior authorization documents with patients, getting prior authorization approval from insurance companies, filing appeals, and ensuring completeness and accuracy on all prior authorizations. Key Responsibilities: - Submitting requests to insurance companies, gathering necessary documents, completing forms and following up on the status of the requests. - Provide updates on the authorization, review requests for completeness and ensure all supporting documents are submitted to expedite approvals. - Receive requests for prior authorizations and ensure that they are properly and closely monitored within company-...