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Insurance Authorization Specialist

Grand Oaks Care

Sweetwater Care is seeking an experienced and detail-oriented Insurance Authorization Specialist to support the medical records department in Tulare, California.

In this role, you will help ensure patient insurance claims are properly processed and authorized. You will review claims, obtain pre-authorizations, verify insurance information, and communicate with patients and providers to resolve issues. Accuracy, attention to detail, and strong communication skills are essential for success in this position.

Key responsibilities include:

  • Reviewing and processing insurance claims for compliance with company policies and regulations
  • Obtaining pre-authorizations and verifying patient insurance information
  • Communicating with patients and providers to resolve claim-related issues
  • Researching and resolving insurance claim discrepancies
  • Maintaining accurate records of claims and authorizations
  • Collaborating with the medical records department to support efficient claims processing
Requirements & Qualifications
  • High school diploma or equivalent required
  • 0 years of experience in medical billing or insurance authorization
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment with multiple priorities
  • Proficiency in electronic medical records systems and insurance software

Location

California, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

3 weeks ago

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