Hiring For Eligibility, Authorizations& Referrals (US Healthcare

Job opening at Intellisight India Pvt. Ltd in the field of Eligibility, Authorizations & Referrals (US Healthcare)

Role

Role & Responsibilities

• Processes prior authorizations and referral requests promptly, ensuring they are completed before patient services commence.
• Researches patient member benefits, coverage limitations, and allowances to secure necessary authorizations and referrals for patient services.
• Receives and manages referral requests from providers and health plans related to patient visits and procedures.
• Verifies member eligibility and benefits using health plan provider portals or eligibility services, accurately entering information into the EMR system for authorization tracking.
• Educates patients on coverage details and any necessary insurance carrier contacts for additional services.
• Coordinates with providers, physicians, and medical personnel to gather required documentation and codes for authorizations and referrals.
• Communicates authorization details and coverage information promptly to relevant department staff.

Preferred Candidate Profile

• Experience: Minimum 1 to 3 years in Eligibility, Authorizations & Referrals in US Healthcare.
• Education: Any Graduate.

Perks and Benefits

• Monthly incentives, annual appraisals.
• Saturday/Sunday weekends off.
• Quarterly rewards.

Application Details

• Interested candidates can apply by emailing their resume to sangeetha@intellisightindia.com or by WhatsApp at 9346493744.

This position appears to be focused on managing the authorization and referral processes efficiently within the US healthcare system, requiring experience and knowledge in handling insurance coverage, patient benefits verification, and effective communication with both patients and healthcare providers