Patient Services Specialist | Neurology and Rehab

Manage prearrival prior authorization services by verifying patient insurance eligibility, plan benefits, and financial clearance to ensure timely access to care. Collaborate with providers and clinical staff to secure necessary authorizations for scheduled services, referrals, and medication requests while maintaining regulatory compliance. Utilize Electronic Health Records, add-on software, and direct payer communications to assess service needs and communicate approvals to stakeholders. Document all pre-authorization information accurately to prevent denials and advocate for patients by addressing challenges related to approvals and denials. Assist with high-risk requests, including managing appeals, peer-to-peer reviews, and guiding patients through financial assistance programs.