Omnia Management Services is a Surat-based company dedicated to revolutionizing the operational efficiency of Home Health Agencies across the USA. At Omnia, we specialize in providing comprehensive outsourcing services, focusing on scheduling, insurance authorization, and related functions to elevate the healthcare experience.
Role Description
This is a full-time, in-office role in Surat, be a part of the end-to-end insurance prior-authorization process for US-based healthcare providers under HIPAA and other applicable regulations. This specialist works closely with US-based healthcare providers and internal team members to keep patient care moving without authorization delays.
Responsibilities
- Review and verify medical documentation and insurance coverage to assess the necessity of pre-authorization.
- Communicate effectively with healthcare providers to gather all required information and documentation for pre-authorization requests.
- Submit pre-authorization requests to insurance companies and diligently track their status.
- Follow up with insurance companies to ensure prompt approval or resolution of pre-authorization requests.
- Maintain accurate records of all pre-authorization activities and update relevant systems and databases accordingly.
- Collaborate with healthcare providers and insurance companies to resolve issues or concerns related to pre-authorization.
- Stay updated with insurance policies,
guidelines, and industry trends pertaining to pre-authorization processes.
- Verify patient insurance eligibility and benefits.
- Meet the productivity and quality metrics set by the company.
Qualifications
- Bachelor's degree or equivalent experience (healthcare-related field preferred)
- Prior experience in US healthcare insurance coordination, especially managing prior authorizations (preferred)
- Robust knowledge of US insurance regulations and requirements (preferred)
- Medical coding background or certification (preferred)
- Excellent communication and interpersonal skills
- Strong attention to detail and organizational skills
- Ability to multitask and manage time effectively in a fast-paced environment
- Proficiency with Microsoft Office and other relevant software
If you are a motivated and detail-oriented individual with a genuine passion for healthcare, we encourage you to apply today. Please submit your resume highlighting your relevant experience and skills. We welcome individuals with a willingness to learn and grow with us — the right candidate will receive comprehensive training. Job Types: Full-time, Permanent
Ability to commute/relocate
- Piplod, Surat, Gujarat: Reliably commute or planning to relocate before starting work (Required)