Pre-Certification Representative Med-Metrix

2.0 - 4.0 years

0 Lacs

chennai, tamil nadu, india

On-site

Job Purpose The Pre-Certification Representative is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies. Duties And Responsibilities Works effectively with insurance companies to obtain pre-certification for services Places calls to various health plans to obtain appropriate precertification prior to the patient`s appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Faxes to pre-certification request form to insurance company Maintains files and security of confidential information utilizing host system to scan an...

Posted 6 days ago

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Benifit Verification Specialist S L Enterprises

4.0 - 7.0 years

0 - 0 Lacs

bangalore

On-site

Benefit Verification Specialist (Health Insurance, USA) 1 - 4 years Bengaluru, Domlur Max Notice Period 60 Working Days 5 days/week Review Criteria Mandatory Strong Benefit/ Insurance Verifcation Specialists profile Mandatory (Experience 1) Must have minimum 6 months of hands-on experience in US healthcare insurance eligibility and benefits verification Mandatory (Experience 2) Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent. Mandatory (Experience 3) Strong understanding of insurance types Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc. Mandatory (Experience 4) Experience in verifying deductibles, co-pay/coin...

Posted 1 week ago

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Medical Provider Enrollment Specialist (Permanent Work-From-Home) Confidential Hires

5.0 - 7.0 years

0 Lacs

india

Remote

Medical Provider Enrollment Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Medical Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and co...

Posted 1 month ago

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Provider Enrolment Specialist Bikham

2.0 - 4.0 years

0 Lacs

hyderabad, telangana, india

Remote

We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. About the Role Specialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to communicate/engage with our credentialing team and clients as well as be able to ensure client work packages are completed flawlessly. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Responsibilities Minimum of 2 years experience in provider credentialing and ...

Posted 1 month ago

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AR | Prior Auth | EVBV Axis Services

1.0 - 4.0 years

4 - 6 Lacs

Hyderabad, Telangana, India

On-site

AR Caller (Accounts Receivable Caller) Responsibilities: Contact insurance companies to follow up on unpaid/underpaid medical claims . Identify the reason for denials and initiate appropriate steps for resolution. Document call outcomes and maintain accurate records in the billing system. Work on reprocessing or appealing claims as needed. Achieve daily call targets and maintain call quality standards. Requirements: Good spoken English and communication skills. Familiarity with US insurance terminology (Medicare, Medicaid, Commercial, etc.) Prior experience in AR Calling or denial management preferred but not mandatory. Prior Authorization Executive Responsibilities: Initiate and follow up o...

Posted 2 months ago

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