About Us
At Unified Vision we are building AI agents to empower healthcare providers. Through AI, we aim to solve the overwhelming administrative complexities that consume 40% of the industry’s revenue. We focus on incubating and scaling specialty-specific brands across various healthcare fields, using technology to drive operational success, access to care, and deliver exceptional outcomes. Our innovative platforms support providers in streamlining administrative tasks so that they can focus on delivering high-impact care. Unified Vision is backed by over >$200mm from top-tier investors including Founders Fund, General Catalyst, Softbank, and 8VC.
About The Role
We are seeking a meticulous and detail oriented Authorization Specialist to manage and coordinate the insurance authorization process for behavioral health services. In this role, you will be a critical link between providers, patients, and insurance companies, ensuring that all services are pre-approved and compliant with payer guidelines. This position requires excellent organizational skills, a strong understanding of insurance policies, and a commitment to delivering exceptional service.
Responsibilities
- Obtain and verify prior authorizations for behavioral health services, ensuring compliance with insurance payer guidelines.
- Communicate with healthcare providers, patients, and insurance companies to ensure a seamless authorization process.
- Maintain accurate and detailed records of authorization requests, approvals, denials, and follow-ups.
- Ensure all documentation meets regulatory requirements and payer-specific policies.
- Proactively track pending authorizations and resolve any delays or denials by coordinating with relevant parties.
- Verify patient insurance coverage and benefits to determine eligibility for services.Identify and resolve discrepancies in insurance claims, billing, or authorizations.
- Generate and maintain authorization reports for internal teams and management, highlighting key metrics and trends.
- Drive organization and process optimization on authorization processes.
Qualifications
- Bachelor’s degree in Business Administration or a related field.
- 2+ years of experience in insurance authorization, medical billing, or a related role in healthcare.
- Proficiency in healthcare management systems (e.g., EPIC, Cerner, or similar) and GSuite.
- Strong understanding of insurance policies, medical terminology, and authorization processes.
- Excellent verbal and written communication skills to interact effectively with providers, patients, and insurance representatives.
- High level of accuracy and attention to detail in managing complex records and documentation.
- Proactive approach to resolving authorization and billing issues efficiently.
- Strong organizational skills to handle multiple authorization requests and meet tight deadlines.
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What We Do
At 3Y we are building AI agents to empower healthcare providers. Through AI, we aim to solve the overwhelming administrative complexities that consume 40% of the industry’s revenue. We focus on incubating and scaling specialty-specific platforms across various healthcare fields, using technology to drive operational success, access to care, and exceptional outcomes. Our innovative platforms support providers in streamlining administrative tasks so that they can focus on delivering high-impact care. 3Y is backed by over $200 million from top-tier investors including Founders Fund, General Catalyst, Softbank, and 8VC.
