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Authorization Research Specialist

Company: VirtualVocations
Location: Canton
Posted on: March 28, 2025

Job Description:

A company is looking for an Authorization Research Specialist III.
Key Responsibilities

Resolve time-sensitive authorization issues to prevent claim denials, reconsiderations, or appeals
Identify and escalate claim issues related to authorizations
Research and resolve open or pending authorization issues impacting claims

Required Qualifications

High School diploma or GED
2 - 4 years of related experience
Preferred 2+ years experience in healthcare authorizations, denials, medical claims, coding, and/or collections
Knowledge of Medicare and Medicaid regulations and insurance processes preferred
Familiarity with medical terminology and payor compliance rules preferred

Keywords: VirtualVocations, Canton , Authorization Research Specialist, Other , Canton, Ohio

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