Prior Auth Executive / Caller / Voice Process

Job Description

EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE Position 1: Prior Authorization Executive- Voice Process. Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation. Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures Get prior authorization approval from insurance firms and nurse managers Appeal insurance companies after prior authorization refusals. Get prior authorization approval from insurance firms and nurse managers. Document account activity using correct medical and billing codes. At least 1 year of experience in obtaining prior authorization. Interact with the insurance rep to follow-up on appealed authorizations. Calling Insurances on claims resolutions and handling the denials for a closure Qualifications: Good organizational skills to implement timely follow-up Excellent verbal and written communication skills Strong reporting skills Ensure accurate & timely follow up where required. Interested candidates can share their updated resume with below details to hr@finchhealthcare.com Contact: Mr. Naveen- 9281471911 About company Kria Infotech Pvt Ltd is a fast-growing US Healthcare back office services company with offices in US and India. The company is poised to grow 100% this year. We are looking for the mentioned applicants with excellent communication skills. Company InfoAddress:2nd Floor Barwale Chambers, Hyderabad, Telangana, India