Insurance Authorization Coordinator
Posted 2025-03-14We are offering a contract for a permanent position as an Insurance Authorization Coordinator in Houston, Texas. The role primarily involves managing customer applications and records, resolving their inquiries, and monitoring customer accounts.
Responsibilities
? Efficiently and accurately process customer credit applications
? Maintain precise customer credit records
? Resolve customer inquiries effectively
? Monitor customer accounts and take necessary actions
? Conduct comprehensive review of claims and denials, assessing their validity
? Engage in dispute resolution and present necessary arguments for appeals
? Collaborate with various departments to ensure seamless resolution of claims and other issues
? Maintain up-to-date knowledge of billing guidelines to ensure claims compliance
? Gather and preserve crucial data necessary for the resolution of claims
? Perform account clean-ups while maintaining high levels of accuracy and efficiency.? Proficiency in CRM systems to effectively manage customer relationships and data
? Experience in answering inbound calls, demonstrating excellent communication and customer service skills
? Familiarity with authorizations, particularly in an insurance setting
? Understanding of benefit functions, including eligibility checks and coverage verifications
? Knowledge of billing functions, ideally within the healthcare or insurance sector
? Experience in claim administration, including processing, tracking, and managing claims
? Proficiency in data entry with high level of accuracy and attention to detail
? Ability to manage and analyze claims data to identify trends and make recommendations
? Experience in handling insurance claims, with understanding of claim procedures and guidelines
? Familiarity with medical claims, including processing, coding, and billing procedures.
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