Authorization-PA Integrity Healthcare Solutions Pvt Ltd

2.0 - 6.0 years

0 Lacs

ahmedabad, all india

On-site

As an Authorization Specialist, your role involves reviewing, analyzing, and understanding authorization requests to ensure completeness and accuracy. You will collaborate with internal departments to gather necessary information for processing authorizations and verify eligibility and coverage details. Communication with external stakeholders, such as insurance providers and regulatory bodies, is essential to obtain necessary approvals. It is crucial to maintain accurate records of authorization requests, approvals, and denials and understand the appeal requirements for unapproved authorizations, ensuring timely appeals. Staying informed about industry regulations and compliance changes is ...

Posted 5 days ago

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Senior Manager - AR Operations GeBBS Healthcare Solutions

11.0 - 15.0 years

0 Lacs

thane, maharashtra

On-site

As a Senior Manager in AR Operations, you will be responsible for managing and guiding a team of AR associates. Your primary focus will be on analyzing receivables due from healthcare insurance companies and initiating necessary follow-up actions to ensure reimbursement. You will utilize a combination of voice and non-voice follow-up techniques while also undertaking appropriate denial and appeal management protocols. Key Responsibilities: - Lead teams to efficiently meet client expectations, reduce AR aging, and optimize collections - Manage the day-to-day activities of the team, monitoring and managing workflow to ensure timely delivery of agreed SLAs - Track and maintain metrics for vario...

Posted 3 months ago

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