Hiring Prior Authorization - US Healthcare

1 - 6 years

2 - 6 Lacs

Posted:1 week ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities

  • Initiate, submit, and follow up on

    prior authorization requests

    with US insurance payers.
  • Verify

    patient eligibility, benefits, and authorization requirements

    as per payer guidelines.
  • Prepare and submit PA requests via

    payer portals, phone calls, fax, and emails

    .
  • Coordinate with

    providers offices, clinical teams, and insurance companies

    to obtain required clinical documentation.
  • Ensure authorizations are obtained

    within TAT

    to avoid treatment delays or claim denials.
  • Maintain accurate documentation of authorization status in the

    practice management / EMR system

Preferred candidate profile

  • Prior Authorization / Insurance Authorization experience
  • CPT, ICD-10, medical terminology knowledge
  • Payer portals:

    Availity, Navinet, EPIC, UHC portals

  • Attention to detail & strong follow-up skills.

Please share your updated resumes to hr@oncospark.com / 7824834817.

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