BioTAB Healthcare · 3 months ago
Authorization and Appeals Specialist
St. Louis, MO
Full-time
Onsite
Mid LevelBioTAB Healthcare is seeking an Authorization and Appeals Specialist responsible for filing appeals for authorization denials and training the Authorization Coordinators on the Case Processing team. The role involves effective communication with insurance companies and patients, creating medical documents, and ensuring compliance with HIPAA and privacy regulations.
Medical Device
Responsibilities
File appeals on all authorization that have been denied
Start and follow up on the insurance authorization process
Train and support Authorization Coordinators
Create medical documents
Update patient files with relevant information
Communicate with insurance companies by fax, email and telephone
Effective communication with patients, sales team and corporate staff regarding the status of the patient’s authorization
Willing to support all members of the team
Comply with all HIPAA and privacy regulations
Adhere to laws and best practices in regards to dealing with patients and patient data
Perform other job-related duties as assigned
Qualification
Required
High School Diploma or GED required
MS Office experience, minimum of six months required
Data entry skills, minimum of six months required
Basic medical terminology, minimum of six months required
Excellent telephone skills, minimum of six months required
Verbal and written communication skills, required
Able to work in a team environment, required
Medical documentation review, minimum of six months required
Previous prior authorization experience, minimum of six months required
Advanced knowledge of Medicare, Medicaid and commercial health insurance, required
Experience working in a healthcare setting, required
Attention to detail, required
Critical thinking skills, required
Company
BioTAB Healthcare
BioTAB Healthcare is a leading provider of Pneumatic Compression Therapy solutions, helping patients manage chronic conditions like Lymphedema, Chronic Venous Insufficiency, Venous Ulcers, and Peripheral Arterial Disease.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase