Healthcare Authorization Specialist

6 days ago

Brisbane, Queensland, Australia beBeePriorAuth Full time $60,000 - $80,000
Job Description

As a highly skilled professional in the field of healthcare, you will play a crucial role in supporting intake staff with insurance verification and ensuring timely authorization requests. This is an opportunity to work in a dynamic environment where your expertise and organizational skills can make a significant impact.

Key Responsibilities:

  • Support intake staff by assisting with insurance verification, ensuring that all necessary documentation is accurate and up-to-date.
  • Initiate authorization requests with insurance companies and government payers, obtaining the necessary information to facilitate efficient order fulfillment.
  • Communicate and report any insurance-related issues to case management, providing timely updates on outstanding authorizations.
  • Monitor outstanding authorization requests, initiating follow-up as needed to ensure compliance with regulatory requirements.
  • Assist with insurance changes when prior authorizations are required, maintaining accurate records to avoid delays.
  • Manage phone calls related to prior authorizations, providing clear communication and resolving any issues promptly.

Requirements:

  • A graduate of an accredited high school or equivalent education.
  • The ability to multi-task in a fast-paced environment, prioritizing tasks to meet deadlines.
  • Detailed and team-oriented approach, with effective communication and organizational skills.
  • Proven proficiency in computer applications, utilizing multiple systems simultaneously to streamline workflow.
  • Knowledge of the HME/DME industry is a plus, with a strong understanding of regulations and guidelines.

Benefits:

  • Competitive compensation package, including medical, dental, and vision insurance.
  • Advancement opportunities, with a focus on employee growth and development.
  • Tuition reimbursement program, supporting ongoing education and training.
  • Paid vacation, sick days, mental health days, and holidays, promoting work-life balance.
  • Employee assistance program (EAP), offering confidential support services.
  • 401k plan, with matching contributions and a Roth IRA option.
  • Company discounts, available exclusively for employees.
  • Payactiv/on-demand pay, providing flexible payment options.

About the Role:

  • This is a full-time position, requiring a minimum of 40 hours per week.
  • Flexibility to work varied shifts, including evenings and weekends as needed.
  • Travel may be required for training and meetings.

  • Authorization Coordinator

    4 days ago

    Brisbane, Queensland, Australia beBeeauthorization Full time $60,000 - $80,000

    Prior Authorization ProfessionalMedical Service Company is seeking a skilled Prior Authorization Specialist to join our team.The ideal candidate will possess excellent communication and organizational skills, with the ability to multi-task in a fast-paced environment.\

  • Delegated Authority Specialist

    1 week ago

    Brisbane, Queensland, Australia beBeeAuthority Full time $70,000 - $95,000

    Job OverviewThis is a key role that supports the successful implementation of Delegated Authority strategies. The specialist will work closely with the team to ensure compliance with all relevant frameworks and procedures.The RoleProvide administrative support for all third-party delegated authority arrangements, ensuring timely processing and resolving...

  • Healthcare Specialist

    4 days ago

    Brisbane, Queensland, Australia beBeeOpportunity Full time $180,000 - $220,000

    Healthcare Professional OpportunitiesAs a key member of the healthcare team, you will be responsible for delivering high-quality medical care to patients in primary health care and emergency response settings. Your role requires strong clinical skills, effective communication abilities, and a commitment to ongoing professional development.The division...

  • Investigative Authority

    5 days ago

    Brisbane, Queensland, Australia Goodstart Early Learning Full time

    **Role**: Investigative Authority - QLD**Location**: Brisbane - QLD**Employment Type**: Permanent - Full timeAt Goodstart, we're not just Australia's largest provider of early learning and care - we're a passionate community of 15,000 team members across more than 660 centres, dedicated to nurturing over 60,000 children every day. As a not-for-profit social...

  • Rural Healthcare Specialist

    1 week ago

    Brisbane, Queensland, Australia beBeeHealthcare Full time $177,797

    Rural Healthcare ProfessionalThe role of a Rural Healthcare Professional is to provide high-quality patient care in a rural or remote setting. As a key member of the healthcare team, you will be responsible for delivering advanced medical care and clinical expertise within emergency departments and primary care clinics.Assessment, diagnosis, planning,...

  • Healthcare Administration Specialist

    11 hours ago

    Brisbane, Queensland, Australia beBeePatientCare Full time $29,541 - $31,559

    Healthcare Administration SpecialistWe're seeking a dedicated and compassionate individual to join our team as a Healthcare Administration Specialist. In this role, you will play a vital part in delivering exceptional patient care and administrative support.

  • Healthcare Outcomes Specialist

    4 days ago

    Brisbane, Queensland, Australia beBeeHealthcare Full time $100,000 - $125,000

    Job Title: Healthcare Outcomes SpecialistJob Summary:The role of the Healthcare Outcomes Specialist is to ensure that healthcare facilities maintain a high level of quality care that goes beyond compliance requirements.Key Responsibilities:Provides guidance on Aged Care Funding Instrument (ACFI) matters.Ensures that healthcare facilities have processes in...

  • Primary Healthcare Specialist

    2 weeks ago

    Brisbane, Queensland, Australia beBeeCare Full time $150,000 - $185,000

    Job OpportunityThis role involves managing patient care in a busy primary healthcare setting. The successful candidate will be responsible for assessing, diagnosing, and treating patients independently within a holistic model of care.Key ResponsibilitiesManage patient care through assessment, diagnosis, and treatment planning in a fast-paced primary...

  • Cultural Healthcare Specialist

    6 days ago

    Brisbane, Queensland, Australia beBeeHealthcare Full time $80,000 - $99,999

    Job Opportunity: Cultural Healthcare SpecialistAs a Cultural Healthcare Specialist, you will be responsible for delivering high-quality healthcare services to Aboriginal and Torres Strait Islander patients and their families. This role involves providing culturally appropriate care, education, and training to promote health literacy and access to healthcare...

  • Healthcare Optimization Specialist

    2 weeks ago

    Brisbane, Queensland, Australia beBeeClinical Full time $180,000 - $250,000

    Optimizing Healthcare OutcomesYou will play a pivotal role in enhancing the healthcare experience of Defence members accessing our services. This is an exceptional opportunity to drive meaningful change and contribute to the delivery of high-quality care across all service delivery and continuous improvement activities.We are seeking a seasoned professional...