BPharma : MPharma : BDS : Walkin Interview : 5.8 LPA Max : Gurgaon Outpace Consulting Services

1.0 - 5.0 years

3 - 5 Lacs

gurugram

Work from Office

Hi, We Are Hiring for Leading ITES Company In Gurgaon for Pre - Authorization Role 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 @ Outpace Consulting, C-29, Sec 2 Noida (Nearest Metro Noida Sec 15, Exit Gate 3) Landmark : Near Hotel Nirulas Walkin Time : 11 am to 3 Pm Shadiya @ 7898822545 Whatsapp Your CV @ 9721919721 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.

Posted 17 hours ago

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