14 Preauthorization Jobs

Role Overview: As an Insurance Executive at Naruvi Hospitals, your primary responsibility will be to manage all aspects of hospital insurance operations. Your role will involve ensuring seamless coordination between patients, insurance providers, and internal departments to facilitate the insurance processes efficiently. Key Responsibilities: - Coordinate with patients, consultants, and insurance companies for pre-authorization, approvals, and claim processing. - Verify insurance coverage, policy limits, and eligibility of patients. - Prepare and submit pre-authorization requests and discharge intimations. - Follow up on pending approvals and claims to ensure timely settlements. - Maintain a...

Job Summary The Patient Care Coordinator is the primary point of contact for patients, helping them navigate the complexities of their care under healthcare policies and insurance systems. This role ensures smooth coordination from appointment booking through precertification, benefits verification, coding (CPT/ICD), and timely communication. The coordinator works closely with internal teams and external stakeholders (insurers, providers, patients) to manage expectations and resolve issues. Key Responsibilities Schedule and manage patient appointments, including followups. Handle precertification / preauthorization processes: submit required documents to insurers; track approval status. Cond...

hi #linkies I'm #hiring for US Healthcare -Payment Posting Role : Payment Posting Location :Navi Mumbai ,Airoli Experience : 1+ Year relevant experience Payment posting Qualification : Any Graduation 5 Days Working Shifts : From 5:30PM Onwards (Any 9 hours Shift) 2 Way Cab Facility Available Immediate -30 Days Joiners Provider side experience ,Voice Process Interested can DM or share CV at:[HIDDEN TEXT] #PreAuthorization #PriorAuthorization #HealthcareAccess #Insurance #MedicationApproval #priorauthorization #medicalbillingservices #medicalbilling #revenuecyclemanagement #medicalbillingcompany #denialmanagement #paymentposting #healthcare #practicemanagement #rcmservices #reimbursement #medi...

As a Medical Officer at Medi Assist Insurance TPA Pvt Ltd, your role involves processing claims such as Preauthorization and Reimbursement claims. You will be responsible for validating and processing these claims within the specified Turnaround Time (TAT). Having good communication skills and medical knowledge is crucial for this role. Any previous experience in Third Party Administrator (TPA) work would be considered an added advantage. Key Responsibilities: - Processing claims including Preauthorization and Reimbursement claims - Validating and processing claims within the specified TAT - Ensuring no financial implications for the organization during claims settlement Qualifications Requi...

As an Eligibility & Verification Specialist, your role will involve verifying patients" insurance coverage and eligibility for services. You will be responsible for ensuring that all necessary pre-authorization and insurance requirements are met before service delivery to reduce denials and optimize reimbursement. Your attention to detail, excellent communication skills, and solid understanding of insurance processes and regulations will be crucial for success in this role. Key Responsibilities: - Ensure required authorizations or referrals are obtained before services are rendered. - Accurately update insurance information and verification notes in the patient management system. - Collabora...

The role of Medical Officer involves processing preauthorization and reimbursement claims, ensuring validation and processing within the specified Turnaround Time (TAT). It requires strong communication skills, medical knowledge, and familiarity with Third Party Administrator (TPA) processes. Experience in TPA handling is considered an advantage for this role. One of the key responsibilities is to manage claims settlement efficiently to prevent any financial implications for the organization. The ideal candidate should possess knowledge and skills in clinical practices, TPA procedures, and medical aspects with a background in insurance. The educational qualification required for this role in...

The job involves coordinating with various Third Party Administrators (TPAs) and insurance companies to facilitate claim processing and approvals. You will be responsible for verifying insurance documents, policy details, and patient eligibility. Additionally, you will assist in obtaining pre-authorization and cashless treatment approvals for insured patients. Your role will also include following up on pending claims, rejections, and reimbursements, while maintaining accurate and updated records of all insurance-related transactions and documentation. You will need to collaborate with hospital billing departments and patient relations teams to ensure timely submission of required documents....

As a Credentialing Specialist, you will play a crucial role in our healthcare operations team by managing end-to-end credentialing and re-credentialing processes. Your primary responsibility will be ensuring the efficiency of the revenue cycle by handling tasks such as maintaining accurate provider data, tracking expirables, and collaborating with billing teams. You will be responsible for interacting with insurance companies and regulatory bodies to follow up on application statuses and resolve any issues that may arise. Additionally, you will work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Your attention to detail and organizational ski...

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims...

SUMMARY OF RESPONSIBILITIES The position of Prior Authorization Specialist is responsible for processing prior authorization requests for Surgical procedures, prescriptions, Imaging, PT etc. Job description: (1) Processes prior authorization requests relating to procedures, radiology, Physical Therapy, prescriptions from pharmacists. This may include receiving a request form via fax or telephone; reviewing the patients chart to verify the Medical record, prescription, patient data, and the proper diagnoses; uploading patients office notes; requesting prior authorizations by speaking personally with the insurance company representatives by phone or via internet portals, receiving immediate au...

Hiring For Reputed BPO N KPO (Work from office) Excellent English Required Telephonic Interviews Voice/ Chat/Blended Process/Collections /Customer service Specialize in-Medical billing/Travel n Ticketing HSC/GRAD Fresher +6 months any bpo exp apply(on paper) 2 week offs,Transpot provided Salary 12K- 55 K + Inc Medical Billing :- upto 50k + Incentives +Travelling allowance SR.HR Shreya :- 9136512502 or mail CV on jobway.resume@gmail.com walk-In :- Jobway Recruitment ( Airoli W) , 1St Floor, Plot No H-132, Above Sai Optic, Opposite To Kotak Bank Atm, Near Bus Depo, Sector-3, Airoli , Navi Mumbai, Maharashtra 400708

* Good knowledge about TPA. * Must have handled Insurance Pre Authorise and final billing enhancement. * Preparing daily report. * Daily patient visit. * Willing to do COVID duty.Roles and Responsibilities Candidate Profile Any Graduate with 1 - 4 years of experience in Hospital insurance -Pleasant Personality with good communication skills. -Interested candidates please forward your resume to Whatsapp number 7299052617

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims...

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims...