Team Manager- RCM (Authorization & Eligibility Verification) || Mohali Indihire Consultants

5.0 - 9.0 years

6 - 9 Lacs

mohali

Work from Office

Role & responsibilities Key Responsibilities: Lead and manage a team of specialists handling Eligibility & Benefits Verification and Prior Authorization . Oversee day-to-day operations, ensuring SLAs, quality standards, and productivity targets are met. Review and analyze authorization and eligibility data to identify trends, gaps, and opportunities for process improvement. Ensure timely verification of insurance coverage, benefit details, and preauthorization requirements. Liaise with insurance payers and provider offices to resolve complex authorization or eligibility issues. Implement and maintain standard operating procedures (SOPs) in compliance with payer requirements and HIPAA regulat...

Posted 3 weeks ago

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Analyst - Pre Authorization Golden Opportunities

2.0 - 6.0 years

0 Lacs

karnataka

On-site

As an Analyst - Pre Authorization, you will be responsible for reviewing and validating pre-authorization requests for medical services and procedures. It will be your duty to ensure the completeness of documentation submitted by policyholders and healthcare providers, as well as to verify eligibility and coverage based on policy terms and conditions. You will need to coordinate with internal claims and underwriting teams for complex cases and input and update pre-authorization decisions in the claims management system. Furthermore, you will play a vital role in communicating authorization outcomes to providers and insured members. It will be crucial to ensure compliance with Hong Kong's Ins...

Posted 1 month ago

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Hiring Experienced Prior Authorization Sukhvarsha Management Services

1.0 - 6.0 years

0 - 3 Lacs

hyderabad, mumbai (all areas)

Work from Office

Hiring: Prior Authorization Voice Process (Work from Office) Location: Mumbai & Hyderabad Experience: Minimum 1 year in Pre-Auth Voice (No Freshers) Salary: As per market standards Company: MNC US Healthcare Cab : 2 way cab available shifts : night shift Job Role: Handle voice-based prior authorization calls with insurance companies. Ensure timely and accurate updates in the system. Requirements: Experience in Pre-Auth Voice Process (US Healthcare). Excellent English communication skills. Only Work from Office No WFH. Send your resume via WhatsApp only: 9962744735 Email: mithra@smsjobs.in

Posted Date not available

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