Biojobz

Selected Intern's Day-to-day Responsibilities Include End-to-end resource fulfilment processes, i.e., receiving, fulfilling, tracking, and supporting all the resource requests for respective accounts. Understanding about the client - his industry, company, culture, competition, and requirement. Mapping the client’s industry and competition. Sourcing candidates primarily by head-hunting, referencing, and social networking sites like LinkedIn, apart from using e-resource tools like Naukri, Monster, job postings, search engines, social networking sites, and other advanced Internet search techniques. Pre-screening candidates to obtain the position desired, pay rate, and location. Scheduling interviews for shortlisted candidates. Negotiating terms and facilitating acceptance of the offer. About Company: Biojobz was established in 2007 by Dr. Ganesh Nikam, with a vision to accelerate the discovery and development process of the global biopharmaceutical industry. Over the past 5 years, Biojobz's exclusive focus on the biopharmaceutical talent pool has transformed the entire executive search process and made it a pioneer in the life-science executive search domain. Talent acquisition space has witnessed a sea change with the advent of social networking and internet technologies. Based on innovation, process-intensive and research-driven approach, Biojobz, as a leading executive search organization, is serving top pharmaceutical & biotech companies in India & abroad. Biojobz is now a symbol of leadership and innovative practices while delivering trust and reliability to all its customers/partners. Biojobz is a team of young, enthusiastic, dynamic go-getters backed by their sound educational background, committed to delivering in challenging environments. Show more Show less

Job Description Selected intern's day-to-day responsibilities include: End to End resource fulfilment processes i.e. Receiving, fulfilling, tracking and supporting all the resource requests for respective accounts. Understanding about the client - his industry, company, culture, competition, requirement Mapping the client’s industry and competition Sourcing candidates primarily by head hunting, referencing and social networking sites like LinkedIn apart from using E-Resource tools like Naukri, Monster, job postings, Search engines, Social Networking Sites, and other advanced Internet search techniques. Pre-screening candidates to obtain position desired, pay rate, and location. Scheduling interviews for shortlisted candidates Negotiating terms and facilitating acceptance of offer. Database Management and create data directory. About Company: Biojobz was established in 2007 by Dr. Ganesh Nikam, with a vision to accelerate the discovery and development process of the global biopharmaceutical industry. Over the past 5 years, Biojobz's exclusive focus on the biopharmaceutical talent pool has transformed the entire executive search process and made it a pioneer in the life-science executive search domain. Talent acquisition space has witnessed a sea change with the advent of social networking and internet technologies. Based on innovation, process-intensive and research-driven approach, Biojobz, as a leading executive search organization, is serving top pharmaceutical & biotech companies in India & abroad. Biojobz is now a symbol of leadership and innovative practices while delivering trust and reliability to all its customers/partners. Biojobz is a team of young, enthusiastic, dynamic go-getters backed by their sound educational background, committed to delivering in challenging environments.

Job Description:  End to End resource fulfilment processes i.e. Receiving, fulfilling, tracking and supporting all the resource requests for respective accounts.  Understanding about the client - his industry, company, culture, competition, requirement  Mapping the client’s industry and competition  Sourcing candidates primarily by head-hunting, referencing and social networking sites like LinkedIn apart from using E-Resource tools like Naukri, Monster, job postings, Search engines, Social Networking Sites, and other advanced Internet search techniques.  Pre-screening candidates to obtain position desired, pay rate, and location.  Scheduling interviews for shortlisted candidates  Negotiating terms and facilitating acceptance of offer.  Database Management and create data directory. About Company: Biojobz was established in 2007 by Dr. Ganesh Nikam, with a vision to accelerate the discovery and development process of the global biopharmaceutical industry. Over the past 5 years, Biojobz's exclusive focus on the biopharmaceutical talent pool has transformed the entire executive search process and made it a pioneer in the life-science executive search domain. Talent acquisition space has witnessed a sea change with the advent of social networking and internet technologies. Based on innovation, process-intensive and research-driven approach, Biojobz, as a leading executive search organization, is serving top pharmaceutical & biotech companies in India & abroad. Biojobz is now a symbol of leadership and innovative practices while delivering trust and reliability to all its customers/partners. Biojobz is a team of young, enthusiastic, dynamic go-getters backed by their sound educational background, committed to delivering in challenging environments.

Pre Auth: ● Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. ● Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. ● Provides insurance companies with clinical information necessary to secure prior-authorization or referral. ● Good understanding of the medical terminology and progress notes. ● Obtains and/or reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries. ● Request retro-authorizations when needed. Shift Timings: 5:30 PM to 2:30 AM / 6:30 PM to 3:30 AM EVBV: ● Responsible for reaching out to the payer to check on the insurance eligibility and the benefits of the patient. ● Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified. ● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. ● Responsible for analysing an account and taking the correct action. ● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. ● Task claims to appropriate teams where a specific department within IKS or client’s assistance is required to resolve them. Shift Timings: 5:30 PM to 2:30 AM / 6:30 PM to 3:30 AM

Pre Auth: ? Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. ? Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. ? Provides insurance companies with clinical information necessary to secure prior-authorization or referral. ? Good understanding of the medical terminology and progress notes. ? Obtains and/or reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries. ? Request retro-authorizations when needed. Shift Timings: 5:30 PM to 2:30 AM / 6:30 PM to 3:30 AM EVBV: ? Responsible for reaching out to the payer to check on the insurance eligibility and the benefits of the patient. ? Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified. ? Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. ? Responsible for analysing an account and taking the correct action. ? Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. ? Task claims to appropriate teams where a specific department within IKS or client's assistance is required to resolve them. Shift Timings: 5:30 PM to 2:30 AM / 6:30 PM to 3:30 AM

Role Overview: As a Pre Authorization Specialist, your primary responsibility will be to obtain prior-authorizations and referrals from insurance companies before procedures or surgeries, using online platforms or phone calls. You will also be in charge of monitoring and updating current orders and tasks to ensure accurate and up-to-date information is maintained. Additionally, you will provide insurance companies with the necessary clinical information for securing prior-authorizations or referrals. A good understanding of medical terminology and progress notes will be essential in this role. Key Responsibilities: - Obtain prior-authorizations and referrals from insurance companies for injections, DME, procedures, and surgeries. - Update and maintain current orders and tasks to ensure accuracy. - Provide clinical information to insurance companies as required for prior-authorizations or referrals. - Request retro-authorizations when necessary. - Analyze accounts and take appropriate actions to achieve defined Turnaround Time (TAT) and Quality benchmark score. - Ensure resolution-oriented actions are taken while working on assigned tasks/cases. - Task claims to the relevant teams within the organization or clients for assistance when needed. Qualifications Required: - Proficient in obtaining prior-authorizations and referrals from insurance companies. - Familiarity with medical terminology and progress notes. - Strong communication skills for interacting with insurance companies and internal teams effectively. - Ability to work during the specified shift timings of 5:30 PM to 2:30 AM or 6:30 PM to 3:30 AM. (Note: The additional details section "EVBV:" was omitted as it did not provide relevant information for the job description.),