Prior Auth Jobs – Apply to Latest Prior Auth Job Vacancies

Immediate Hiring AR Callers/ Rejections/ Prior Authorization Credence Resource Management

1 - 6 years

1 - 5 Lacs

Pune

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Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Isha Agarwal /9225502386/ isha.agarwal@in.credencerm.com Fatima Tamboli/ 8956252023/fatima.tamboli@in.credencerm.com

Posted 2 months ago

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Team Lead - RCM Firstsource

4 - 9 years

1 - 6 Lacs

Chennai

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Job description Team Lead - RCM Reports to : Manager Location : Chennai Roles & Responsibilities: In-depth Knowledge and experience in the RCM Healthcare. 4-7 years of experience in AR Denial Management . With over 2 year of experience as a Team lead Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the Clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process. Interested candidates kindly share your updated CV to deepalakshmi.rrr@firstsource.com / 8637451071.

Posted 2 months ago

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Team Lead - RCM Firstsource

4 - 9 years

1 - 6 Lacs

Hyderabad

Work from Office

Job description Team Lead - RCM Reports to : Manager Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and experience in the RCM Healthcare. 4-7 years of experience in AR Denial Management . With over 2 year of experience as a Team leading Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the Clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process. Interested candidates kindly share your updated CV to deepalakshmi.rrr@firstsource.com / 8637451071.

Posted 3 months ago

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Prior Authorization - ( Voice Process ) RCM Bangalore Omega Healthcare

1 - 4 years

1 - 6 Lacs

Bengaluru

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Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes Interested candidates please Contact - HR Team - Mansoor.Shaikbabu@omegahms.com or 8618695697 linkedin.com/in/mohammedmansoor8618695607 Regards Mohammed Mansoor Ph: 8618695607 link in : linkedin.com/in/mohammedmansoor8618695607

Posted 3 months ago

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