Authorization and Appeals Specialist Job at BioTAB Healthcare, Saint Louis, MO

ZEh6WFpLb3ZZVVBZOTg3MlU5MkxNbThwVlE9PQ==
  • BioTAB Healthcare
  • Saint Louis, MO

Job Description

osition Summary 

The Authorization/Appeal Specialist is responsible for filing appeals for all authorization denials on the Case Processing team and training and back up all the Authorization Coordinators on the Case Processing team.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

  • File appeals on all authorization that have been denied
  • Start and follow up on the insurance authorization process
  • Train and support Authorization Coordinators 
  • Create medical documents
  • Update patient files with relevant information
  • Communicate with insurance companies by fax, email and telephone
  • Effective communication with patients, sales team and corporate staff regarding the status of the patient’s authorization
  • Willing to support all members of the team
  • Comply with all HIPAA and privacy regulations
  • Adhere to laws and best practices in regards to dealing with patients and patient data
  • Perform other job-related duties as assigned

Minimum Qualifications (Knowledge, Skills, and Abilities)

  • High School Diploma or GED required 
  • MS Office experience, minimum of six months required
  • Data entry skills, minimum of six months required
  • Basic medical terminology, minimum of six months required
  • Excellent telephone skills, minimum of six months  required
  • Verbal and written communication skills, required
  • Able to work in a team environment, required
  • Medical documentation review,  minimum of six months required 
  • Previous prior authorization experience, minimum of six months required 
  • Advanced knowledge of Medicare, Medicaid and commercial health insurance, required
  • Experience working in a healthcare setting, required  
  • Attention to detail, required 
  • Critical thinking skills, required 

Physical Demands and Work Environment 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

  • Must be able to work onsite at our corporate headquarters in Maryland Heights, MO
  • Must be able to work in an office setting, use a computer, keyboard and mouse for the majority of the shift and be able to communicate on the telephone
  • Must be able to work the scheduled 8 hour shift Monday-Friday

Job Tags

Full time, Monday to Friday, Shift work,

Similar Jobs

Jon Ossoff for Senate

Political Manager Job at Jon Ossoff for Senate

 ...Jon Ossoff for Senate is seeking a Political Manager to support the political team for the duration of the 2026 election cycle. The political...  ...across Georgia. Our mission is to connect the values of this campaign to the people and institutions driving change in every corner... 

Super Soccer Stars

Baby Soccer Instructor Job at Super Soccer Stars

Looking for a position that is fun, exciting & rewarding in the Winter Garden, Ocoee, Windermere, Clermont and surrounding areas??? At Super Soccer Stars ( we teach kids 12 months - 5 yrs old the basic fundamentals of soccer in a fun & non-competitive environment. Check...

Westcare

Assessment Counselor Job at Westcare

 ...reports. The Counselor also determines the level of care for the participant referring to...  .... Must possess at a minimum a bachelors degree in Human Services or Substance Abuse...  ...limited duration and is meant to serve as an entry-level position for those pursuing careers... 

AFSCME Council 4

Legislative and Political Coordinator Job at AFSCME Council 4

 ...AFSCME Council 4 Legislative and Political Coordinator Based in New Britain, CT PURPOSE: Council 4 seeks a Legislative...  ...political efforts. Legislative and Political Coordinators will lead campaigns around legislative, political and election objectives. This... 

Developmental Pathways Inc.

Behavior Technician - ABA / Autism Job at Developmental Pathways Inc.

 ...candidate who speak Spanish or English. Must also obtain a bachelor's degree! At Developmental Pathways, Inc. , weve been delivering...  ... Up to $26/hour based on experience and RBT certification Entry-Level Training No experience? No problem! We provide training to...