Prior Authorization Specialist ( OB Gynecology) (Hyderabad)

Prior Authorization Specialist ( OB Gynecology) (Hyderabad)

04 Oct
|
Staffingly
|
Hyderabad

04 Oct

Staffingly

Hyderabad

Roles and Responsibilities

- Review patient demographics, insurance information, medical history, and reason for service to determine eligibility for services.

- Verify patient eligibility by contacting health plans or third-party payors when necessary.

- Obtain prior authorization from health plans or third-party payors according to established guidelines.

- Document all interactions with patients, providers, and payors in a timely manner.

- Follow up on outstanding prior authorizations until resolution.

Desired Candidate Profile

- 2-5 years of experience in Prior Authorization (OBGYN).

- Robust knowledge of OB Gynecology and US Healthcare industry practices.

- Proficiency in Authentication, Eligibility Verification, Prior Authorization, RCM (Revenue Cycle Management), and US Healthcare regulations.

📌 Prior Authorization Specialist ( OB Gynecology) (Hyderabad)
🏢 Staffingly
📍 Hyderabad

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