Healthcare Administrator

2 months ago


Doha, Baladīyat ad Dawḩah, Qatar Insight Global Full time

Clinical Effectiveness Unit Overview

The Clinical Effectiveness Unit is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities under benefits plan provisions. As a key member of this team, the LTSS Service Authorization Specialist plays a critical role in applying clinical and benefit administration policy guidelines to requests for authorizations for Long Term Services and Supports (LTSS).

Responsibilities

* Apply clinical and benefit administration policy guidelines to requests for authorizations for LTSS
* Provide accurate, prompt, and appropriate medical authorizations to requests from clinicians, vendors, and providers for LTSS
* Collaborate with the LTSS Service Authorization Team Lead to ensure seamless service delivery

Requirements

* 1 or more years of experience working in healthcare prior authorization
* High School Diploma
* Data entry experience
* Excellent customer service skills

Join Insight Global and contribute to the success of our clients by delivering exceptional service and support.



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