Prior Authorization Executive

Job Description

Job description Role - Prior Authorization Executive- Voice Process. Exp - 1-2 Yrs Location - Hyderabad Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patient's 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: Excellent verbal and written communication skills Good analytical & resolution skills preferred. Candidate should be willing to work in Night shift / Eastern Time Zone Strong reporting skills Should have worked on appeals, refiling and denial management. Meet Quality and productivity standards. Industry IT Services and IT Consulting Employment Type Full-time Show more Show less