Hiring - Prior Authorization Caller- US Healthcare | CHN - Experienced

Oncospark

1 - 5 years

1 - 4 Lacs

chennai

Posted:Just now| Platform:

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Skills Required

us healthcare prior authorization authorization eligibility verification insurance verification medical billing rcm

Work Mode

Work from Office

Job Type

Full Time

Job Description

Eligibility Verification:

Contact insurance companies via calls or portals to verify patient insurance coverage, benefits, co-pays, deductibles, and plan details.
Ensure real-time and accurate entry of eligibility details in the system.
Identify discrepancies and escalate coverage issues appropriately.

Prior Authorization:

Initiate and follow up on prior authorizations required by payers for procedures, medications, or services.
Interact with insurance carriers to obtain approvals or resolve denials.
Maintain documentation of communication and authorization details in the EMR/RCM systems.

General Duties:

Collaborate with providers, clinical teams, and billing departments to ensure authorization compliance.
Maintain compliance with HIPAA regulations and company policies.

Preferred candidate profile

Knowledge of US healthcare insurance (Medicare, Medicaid, Commercial plans).
Strong understanding of CPT, ICD, and HCPCS codes (preferred).
Familiarity with EMR/RCM systems and insurance portals.
Excellent communication and interpersonal skills.
Ability to handle high call volumes and multi-task effectively.

Share your profile to hr@oncospark.com | Contact : 7824834817 - Sangeeth.

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