24 Oct
|
Staffingly
|
Hyderabad
24 Oct
Staffingly
Hyderabad
Roles and Responsibilities
- Review medical records, including patient history, symptoms, and treatment plans.
- Determine if services align with established guidelines and criteria for coverage.
- Verify patient eligibility and perks prior to service delivery.
- Communicate effectively with healthcare providers regarding authorization status.
- Maintain accurate documentation of all interactions.
Desired Candidate Profile
- 2-5 years of experience in Prior Authorization or related field (e.g., RCM).
- Strong understanding of US Healthcare regulations and insurance verification processes.
- Proficiency in CPT coding (specifically for cardiac procedures like 93000 series) and ICD-10 Coding.
📌 Cardiology Prior Authorization Specialist (Hyderabad)
🏢 Staffingly
📍 Hyderabad