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Authorization Specialist

Job not on LinkedIn

🔥 20 hours ago

🦀 Maryland – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

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Logo of MedVanta

MedVanta

201 - 500 employees

Founded 2022

💼 Consulting

🏥 Healthcare

☁️ SaaS

💰 $1.8M Seed on 2025-01

Consulting • Healthcare • SaaS

MedVanta is a physician-owned musculoskeletal (MSK) care platform that provides end-to-end digital and clinical solutions for providers, employers, insurers, and patients. Their SaaS products (VantaStat, VantaConnex, VantaMotion, VantaLytics, VantaMSO) offer 24/7 telecare and mobile app access, streamlined scheduling across 190+ locations, AI-powered injury prevention and predictive analytics, and operational support for private practices and payors. The platform focuses on improving MSK access, reducing costs, and delivering data-driven insights for care coordination and recovery.

📋 Description

• Perform patient registration, scheduling, and insurance verification duties • Answer patient phone calls and handle routine online and in-office scheduling inquiries • Schedule, change, and update patient appointments • Interview patients for demographic information and evaluate eligibility • Collect co-pays and deductibles • Contact insurance carriers to verify eligibility, benefits, and requirements • Request, track, and obtain pre-authorization for medical and therapy services within allotted timeframes • Process insurance authorizations and update patient records • Research referrals for approval or denial and identify diagnoses using CPT and ICD-10 coding • Operate online insurance verification websites • Communicate insurance changes or trends to the team • Respond to patient inquiries and scheduling requests • Participate in performance improvement and orientation activities • Document communications and contacts according to standardized requirements • Educate patients and coworkers about preauthorization and coverage information • Use scheduling, EMR, and other computer software to understand and communicate patient needs • Report required information and unusual occurrences according to policies and procedures • Ensure compliance with regulatory and CAO guidelines, policies, and procedures • Perform other assigned duties

🎯 Requirements

• High School Diploma or equivalent • Proficient knowledge in medical terminology • Above average spelling and typing skills • Proficient computer software, including online insurance websites and DASH • Proficiency with Microsoft Office suite of products • Experience collaborating across multiple functions • Experience innovating in a fast-growing work environment and dealing with ambiguity • Strong interpersonal, oral, and written communication skills • Ability to organize, prioritize, and manage multiple tasks in a dynamic environment • Ability to work independently • Excellent time management, organization, and administrative support skills • Must be able to read, write, speak, understand, and communicate in English • Must be able to sit for long periods and lift up to 25 pounds • Must be able to perform frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting • Adequate hearing and visual acuity to perform job duties • Must be able to communicate clearly with patients in person and over the telephone

🏖️ Benefits

• Full-time employment • Remote work designation

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