Procedure Authorization Specialist

hace 4 días

Colonia Roma, México Remote Hive LLC A tiempo completo

**Location**: Roma Norte, Mexico City**Schedule**:Monday to Friday, 7:00 AM - 3:00 PM**Salary**: MXN $18,000/month + legal benefits**Employment Type**: Full-time, On-site**Industry**: Healthcare (U.S.based clinic)- **Please submit your resume in English.**_We are seeking a detail-oriented and proactive **Procedure Authorization Specialist** to manage the end-to-end prior authorization process for medical procedures. In this role, you will play a vital part in ensuring patients receive timely access to necessary care by coordinating closely with healthcare providers, insurance companies, and patients. This position requires excellent communication skills, strong organizational abilities, and a solid understanding of medical procedures and insurance coverage requirements.**Key Responsibilities**:- Manage the full cycle of the procedure prior authorization process.- Gather and review patient information, medical records, and provider orders.- Submit accurate and complete authorization requests to insurance companies.- Monitor and track the status of authorizations; follow up to ensure timely responses.- Clearly communicate authorization outcomes (approved, denied, pending) to clinical staff.- Maintain thorough documentation of all authorization-related activities and communications.- Act as the primary point of contact for inquiries regarding procedure authorizations.- Collaborate with physicians, nurses, and administrative teams to streamline workflows.- Stay current with payer-specific authorization guidelines and policy updates.- Troubleshoot and resolve issues that may delay or prevent authorization approvals.**Requirements**:- **Fluent in English (C2 level)** - excellent verbal and written communication is essential.- **Minimum 2 years of experience** in customer service, healthcare, or appointment coordination.- Strong organizational and time-management skills, with the ability to work independently.- Outstanding interpersonal skills and a professional demeanor.- Familiarity with medical terminology and health insurance processes is a plus.**What We Offer**:- Competitive monthly salary of MXN $18,000- Full legal benefits- A supportive and growth-oriented work environment- The opportunity to be part of an international healthcare team- Career development and long-term growth potentialTipo de puesto: Tiempo completoSueldo: $17,950.00 - $18,000.00 al mesTipo de jornada:- Turno de 8 horasPregunta(s) de postulación:- Do you have at least 2 years of experience in healthcare, customer service, or appointment coordination, and are you fluent in English at a C2 level?Lugar de trabajo: Empleo presencial

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