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Outpace Consulting Services
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B-Pharma - M-Pharma - BDS : Pre Authorization : 5.8 LPA : Call Now

B-Pharma - M-Pharma - BDS : Pre Authorization : 5.8 LPA : Call Now

Outpace Consulting Services

1 - 5 years

3 - 5 Lacs

gurugram

Posted:1 month ago| Platform:

Apply

Skills Required

pharmacovigilance medical billing medical coding revenue cycle management max healthcare bhparma apollo us healthcare denials payment posting mpharma authorization bds eligibility verification r1 rcm coding ar calling manipal hospital narayan health rcm unitedhealth

Work Mode

Work from Office

Job Type

Full Time

Job Description

Hi,

We Are

Key Highlights:

1: B.Pharma / M.Pharma / BDS required with minimum 1 year of any medical experience

2: Candidate Must Not Have Any Exams in the Next 6 Months

3: 24x7 Shifts

4: 5 Days Working

5: Both Side Cabs

6: Immediate Joiners Preferred

Daily Walkin

Landmark

Walkin Time

Shadiya

Key Responsibilities:

Reduced Denials and Improved Cash Flow
Proactive preauthorization management significantly reduces the risk of denials, ensuring timely reimbursements and a healthier cash flow.
Cost Control for Both Parties Preauthorization allows insurance companies to control healthcare costs by ensuring services are medically necessary and adhere to established
Minimizing Claim Denials and Ensuring Reimbursement
A strong authorization process directly reduces claim denials by ensuring that services, treatments, or procedures meet insurance coverage criteria before they are rendered.
Streamlining Operational Efficiency:
Expertise in prior authorization streamlines the entire RCM process by pre-emptively
Enhancing the Patient Experience
It leads to a smoother patient journey by minimizing unexpected out-of-pocket costs and reducing the likelihood of treatment delays or cancellations due to coverage issues.
Ensuring Compliance and Managing Payer Relationships
Staying updated on ever-changing insurance policies and guidelines is vital for successful authorization, preventing disputes and maintaining positive relationships with payers
Resource Allocation and Prevention of Fraud
Prior authorization helps ensure that resources are used efficiently by approving only medically necessary treatments and acts as a safeguard against fraud and abuse within the healthcare system.

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