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1.0 - 4.0 years
2 - 5 Lacs
hyderabad
Work from Office
We're Hiring! | Clinical Prior Authorization Executive & QA Open Roles: Clinical Prior Authorization Executive Quality Analyst (QA) Prior Authorization Job Responsibilities: For Clinical Prior Authorization Executive: Review medical records and prior authorization requests. Validate clinical necessity based on payer policies and guidelines. Coordinate with healthcare providers and insurance companies. Accurately document and process approvals/denials in the system. For QA Role: Audit completed prior authorization cases. Ensure compliance with quality standards and turnaround times (TAT). Provide feedback and support to improve team performance. Maintain documentation and generate quality rep...
Posted 6 hours ago
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