Responsibilities:
1. Navigate various EMR/PM systems to view patient information.

2. Place and record calls to insurances to verify benefit details.

3. Place and record calls to insurance authorization departments to initiate and track status of cases.

4. Use of payor portals for verification of information.

5. Review doctor consultation notes to properly answer clinical questions.

6. High level of documentation and communication.

7. Generate self-productivity reports for supervisory review.

8. Communication with the client and/or supervisor of concerns found throughout workflow.

Requirements:
1. Fluent written and verbal English.

2. Ability to multitask.

3. Valuable computer skills including MS Excel, MS Word, Google Drive.

4. 2-3 years experience in medical benefit investigations.

5. 2-3 years experience in initiating and following prior-authorization of services done pre-claim submission.

6. Knowledge of key medical and billing terms.

7. Consistent attendance during night shift.

Pay: ₹28,500.00 - ₹35,000.00 per month

Education:
- Bachelor's (preferred)

Experience:
- total work: 2 years (preferred)

Work Location: In person

📌 Medical Benefits and Authorization Specialist (Noida)
🏢 ProHealth Business Solutions
📍 Noida