Pre Auth Caller - US Medical Billing

1 - 5 years

0 Lacs

Posted:4 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: You will be responsible for handling Accounts Receivable and Pre-Authorization processes with good analytical and probing skills. Your main tasks will include initiating Prior Authorization requests, following up on requests, working on Pre-Determination Requests, coordinating with U.S. Based clients, analyzing claims, and resolving issues. Key Responsibilities: - Initiate Prior Authorization requests to Insurances across the US on behalf of Provider Office - Follow up on Prior Authorization requests and obtain approvals - Work on Pre-Determination Requests - Coordinate with U.S. Based clients on a daily basis on assigned tasks - Analyze Claims and resolve any issues - Perform Pre-Call Analysis on claims before contacting insurance companies - Have a good understanding of claims specifications and medical billing terminologies Qualifications Required: - Minimum of 1 year experience in Pre Authorization is a must - Strong knowledge in handling denials - Good oral and written communication skills Please Note: This is a full-time position with an expected start date of 15/10/2025.,

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