AR Executive

Job Title: AR Executive
Location: Thanjavur
Shift: Night shift
Experience:6months-2years

Job Description

• Check the patient’s insurance eligibility and benefits for medical services.
• Contact payers to determine network status of practice and provider.
• Prepare and submit prior authorization (PA) requests to insurance companies.
• Communicate with practice to obtain supporting reports or clinical notes.
• Convey prior authorization status updates to the practice.
• Ensure that all required documentation and clinical information is included.
• Follow up with the payer on the status of the pending authorization requests.
• Obtain the authorization determination information from the payer.
• Resolve denials or incomplete submissions by gathering additional documentation or initiating authorization appeals.
• Accurately log all submitted and received authorizations in the electronic health record (EHR) or in the client tracking system.
• Follow up and maintain update of payer-specific policies / guidelines and prior authorization requirements.
• Help monitor prior authorization request turnaround times to ensure deadlines are met.
• Adhere to HIPAA regulations and internal policies to ensure patient’s privacy.
• Ensure all authorization requests are compliant with payer guidelines and healthcare regulations.
• Participate in staff training in prior authorization related tasks.
• Contribute to process improvement efforts through feedback and suggestions.

Interested candidates share your resume to [email protected]

Job Types: Full-time, Permanent

Pay: ₹12,000.00 - ₹20,000.00 per month

Work Location: In person