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Authorization Research Specialist
A company is looking for an Authorization Research Specialist III. Key Responsibilities Resolve time-sensitive authorization issues to prevent claim denials, reconsiderations, or appeals Identify and escalate claim issues related to authorizations Research and resolve open or pending authorization issues impacting claims Required Qualifications High School diploma or GED 2 - 4 years of related experience Preferred 2+ years experience in healthcare authorizations, denials, medical claims, coding, and/or collections Knowledge of Medicare and Medicaid regulations and insurance processes preferred Familiarity with medical terminology and payor compliance rules preferred
A company is looking for an Authorization Research Specialist III.
Key Responsibilities
Resolve time-sensitive authorization issues to prevent claim denials, reconsiderations, or appeals
Identify and escalate claim issues related to authorizations
Research and resolve open or pending authorization issues impacting claims
Required Qualifications
High School diploma or GED
2 - 4 years of related experience
Preferred 2+ years experience in healthcare authorizations, denials, medical claims, coding, and/or collections
Knowledge of Medicare and Medicaid regulations and insurance processes preferred
Familiarity with medical terminology and payor compliance rules preferred