0.0 years

0 Lacs

Pune, Maharashtra, India

On-site

Precertification Intake Support involves determination of precertification requirement of an upcoming medical/surgical procedure. It consists of frontline professional staff who take incoming calls either from members or providers Front line staff accepts incoming calls from members or providers to determine precertification requirement for any medical and surgical procedure Screens requests in order to appropriately refer items to the medical services staff Utilizes reference tools to determine the need for notification and medical review Collates medical information and determines precertification review in accordance with the benefit plan Assigns length of stay based on approved reference...

Posted 3 months ago

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PRIOR Authorization Specialist Aait Health Rcm

1.0 - 3.0 years

2 - 5 Lacs

Navi Mumbai

Work from Office

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...

Posted 3 months ago

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