Deskripsi Pekerjaan
Are you a detail-oriented professional looking to make a meaningful impact in the healthcare industry? Zoobook Systems LLC is seeking a dedicated Behavioral Health Authorization Coordinator to join our dynamic team in Bacolod City. In this pivotal role, you will serve as the essential bridge between patients, healthcare providers, and insurance carriers, ensuring that vital mental health services are authorized efficiently and accurately. You will manage the complex process of prior authorizations, verify insurance benefits, and resolve claims denials, playing a key role in facilitating timely access to care.
Our ideal candidate possesses a strong background in healthcare administration and a genuine passion for patient advocacy. You will be responsible for maintaining precise records, communicating effectively with insurance carriers, and collaborating with clinical staff to streamline operations. If you have the organizational skills and dedication required to support our mission of delivering quality healthcare, we invite you to apply.
Tanggung Jawab
- Manage and process prior authorizations for behavioral health and mental health services.
- Verify patient insurance eligibility and benefits to determine coverage levels.
- Communicate effectively with insurance carriers to obtain necessary approvals and resolve authorization delays.
- Review medical records and clinical documentation to support authorization requests.
- Handle claims denials and initiate appeals processes to ensure reimbursement.
- Maintain accurate and up-to-date logs of authorization statuses and patient communications.
- Collaborate with billing departments and clinical teams to ensure seamless service delivery.
Kualifikasi
- High school diploma or equivalent required; Associate’s degree in Healthcare Administration or related field preferred.
- Previous experience in insurance verification, prior authorization, or medical billing is required.
- Strong understanding of medical terminology and behavioral health processes.
- Excellent written and verbal communication skills, with the ability to negotiate effectively with insurance representatives.
- Detail-oriented with strong organizational and multitasking abilities.
- Proficiency in using EMR/EHR systems and medical billing software.
- Ability to work independently and meet deadlines in a fast-paced healthcare environment.