Key Responsibilities:
- Process, monitor, and resolve prior authorization requests.
- Review clinical documentation to ensure compliance with payer requirements and medical necessity criteria.
- Collaborate with insurance providers to ensure timely approvals, escalate issues, and appeal denials when necessary.
- Maintain accurate records of all authorization activities, including submissions, approvals, denials, and appeals.
ONLY MALE CANDIDATES Contact details- HR Gauri
Mail id-
[email protected]
Contact no - (phone hidden)
📌 Prior Authorization Executive (Pune)
🏢 Suma Soft
📍 Pune