Job description
Responsible for researching patient member perks, additional coverages, coverage limitations, and general coverage allowances to obtain the necessary authorizations and referrals for patient services.
Initiate and manage the prior authorization process for medical procedures, treatments, or medications.
Prepare and submit prior authorization requests to insurance companies or healthcare payers according to established procedures.
Ensure all required documentation, including clinical notes, medical history, and supporting documents, are complete and accurate.
Processes prior authorizations and referral requests in a timely manner, prior to the patient s services being rendered.
Job Requirement:
Bachelor s degree in any discipline.
1 to 5 years of relevant experience Hands-on experience with RCM Medical Billing
Robust knowledge of medical terminology, insurance policies,
and healthcare reimbursement processes.
Excellent communication, organizational, and problem-solving skills.
Ability to work independently and collaboratively in a rapid-paced, deadline-driven environment.
eClinicalWorks experience will be an added advantage.
Willing to work the night shift (any 9 hrs. between 6:30 pm 3:30 am)
Salary: as per company policy
Job Type: Full Time
Job Location: Ahmedabad
Job Shift: Night Shift
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.