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Authorization Manager
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Premium Health Care
Miami, FL (In Person)
$62,500 Salary, Full-Time
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Job Description
Authorization Manager Premium Health Care - 3.1 Miami, FL Job Details Full-time $60,000 - $65,000 a year 19 hours ago Benefits Paid time off Qualifications Spanish Medical documentation Medicare Medical office experience English Medical billing Health information management Full Job Description Overview Join our dynamic healthcare team as an Authorization Manager, where you will lead the coordination and management of patient authorization processes across various medical and dental specialties. In this pivotal role, you will ensure seamless communication between providers, insurance companies, and patients to facilitate timely approvals for treatments and procedures. Your expertise will help optimize operational efficiency while maintaining compliance with healthcare regulations such as HIPAA. This position offers an exciting opportunity to make a meaningful impact on patient care by streamlining authorization workflows and supporting our dedicated medical staff. Responsibilities Oversee the entire authorization process for medical and dental procedures, ensuring accurate and prompt submission of requests to insurance providers. Collaborate closely with healthcare providers, insurance companies, and patients to gather necessary documentation and clarify authorization requirements. Verify insurance coverage, benefits, and eligibility through insurance verification procedures prior to submitting authorization requests. Maintain comprehensive records of all authorization activities, including approvals, denials, and follow-up communications. Ensure compliance with HIPAA regulations by safeguarding patient information during all stages of the authorization process. Utilize medical coding knowledge, including CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding, to accurately document procedures and diagnoses in authorization requests. Stay current on industry standards related to managed care policies, medical terminology, and insurance guidelines to improve approval success rates. Experience 3+ years of experience. Proven experience in managed care environments or medical office settings with a focus on authorizations or billing. Strong understanding of medical terminology, medical records management, and medical coding practices including CPT, ICD-9, ICD-10, and ICD coding systems. Familiarity with insurance verification processes within healthcare or dental office settings. Prior experience working with HIPAA compliance standards to protect patient privacy. Excellent organizational skills with the ability to manage multiple priorities efficiently in a fast-paced environment. Office experience in a healthcare setting is highly preferred; dental office experience is a plus.