Behavioral Health Prior Authorizations
Job in
North Las Vegas, Clark County, Nevada, 89095, USA
Listed on 2026-01-12
Listing for:
The Voluntary Protection Programs Participants' Association, Inc
Full Time
position Listed on 2026-01-12
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration
Job Description & How to Apply Below
If you have never written or submitted a mental health prior authorization, please do not apply.
Responsibilities- Verifying Insurance Coverage: Determining if a patient's insurance plan requires prior authorization for specific services or medications.
- Obtaining Authorizations: Submitting requests to insurance companies for approval of medical services, procedures, or medications, and following up on the status of these requests.
- Documenting and Tracking: Maintaining accurate records of all authorization requests, communication attempts, and outcomes.
- Communicating with Stakeholders: Keeping patients, providers, and insurance companies informed about the status of authorization requests and any required follow-up.
- Reviewing Medical Records: Examining patient records to assess the medical necessity of requested services and ensure compliance with insurance guidelines.
- Identifying and Resolving Issues: Troubleshooting any issues related to prior authorization, such as denials or delays, and working to resolve them.
- Staying Updated: Keeping abreast of changes in insurance policies and procedures related to prior authorization.
Full-time, Contract
Pay$22.73 - $27.38 per hour
Benefits- Paid time off
In person
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