Prior Authorizations Specialist
hace 2 días
_**RedValley,**_ the coolest and fastest-growing company, is seeking an experienced _ **Prior authorization specialist**_ to join our new medical team You will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and coordinating patient appointments/orders.
**What You'll Do**
- Review chart documentation to ensure the patient meets medical policy guidelines
- Prioritize incoming authorization requests according to the urgency
- Obtain authorization via the payer website or by phone and follow up regularly on pending cases
- Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations
- Initiate appeals for denied authorizations
- Respond to clinic questions regarding payer medical policy guidelines
- Confirm the accuracy of CPT and ICD-10 diagnoses in the procedure order
- Contact patients to discuss authorization status
- Other duties as assigned, aligned with the job responsibilities
**What You'll Bring To The Team**
- Strong spoken and written English B2+
- 1+ Years of Experience in prior authorizations
- 3+ Years of Experience in the healthcare industry
- Experience with procedure authorizations in any medical field
- Basic typing and keyboarding skills
- Strong oral and written communication skills
- Highly detail-oriented
- Basic understanding of human anatomy, specifically musculoskeletal
- Proficient use of CPT and ICD-10 codes
**We Offer You**
- Opportunities to work in a fast-paced startup environment supportive of teamwork, ownership, and purpose.
- Flexible working environment (flexible working hours, working from our state-of-the-art office space in El Poblado).
- One-of-a-kind company values and teamwork culture as well as a meaningful mission and challenging work.
- Private health insurance for you plus a family member.
- Great discount on lunch with our partnered restaurants
-
Global Travel Booking Specialist
hace 11 horas
Medellín, Antioquia, Colombia Erika4Travel A tiempo completoAt Erika4Travel, we're seeking a motivated Global Travel Booking Specialist to join our team. This is a 100% commission-based role that offers flexible working hours and the opportunity to work from anywhere with a stable internet connection.About the RoleThis position is ideal for self-starters who want to earn income based on their performance while...
-
Content Marketing Specialist
hace 5 días
Medellín, Colombia Eddy Pump A tiempo completoWe are a group of forward-thinking B2B companies known for their innovation in [industry]. We are currently seeking a talented Content Marketing Specialist to join our team. This role is instrumental in driving our content marketing strategy, with a focus on utilizing ChatGPT to develop SEO-optimized content in both Spanish and English. **Job...
-
Sales Development Project Coordinator
hace 4 días
Medellín, Antioquia, Colombia LatamCent A tiempo completoLatamCent seeks an exceptional Client Onboarding Specialist to spearhead the end-to-end onboarding and implementation process of our sales development solutions.\rThis role requires a meticulous approach, combining project management skills with a deep understanding of sales development and a customer-centric mindset. The ideal candidate will be able to...
-
Fully Remote Recruiter
hace 4 días
Medellín, Antioquia, Colombia The Contractor Consultants A tiempo completo**Seeking Recruiting Professionals to Join Exciting Startup Opportunity!**: **Job Title**: Remote Recruiter **Location**: Fully Remote **Pay**:$17**: - $19 per hour to start!** **Why Us**: The Contractor Consultants is seeking a highly motivated and organized Hiring Specialist to join our dynamic team! As a Remote Recruiter, you will play a crucial role...