Prior Authorization - Medical Billing

Role & responsibilities

• Obtain Prior Authorization from Insurance, providers for medical procedures, diagnosis tests, surgeries, and prescription medications.
• Communicate with healthcare providers, and insurance companies to gather the necessary information for authorization.
• Review patient records and billing information to identify prior authorization requirements.
• Update patient records and billing systems with prior authorization information.
• Track the status of authorization requests and follow up with insurance companies on pending approvals or denials.
• Resolve Authorization issues, appeals, and discrepancies promptly.
• Meet productivity and quality standards.
• Stay up-to-date with insurance policies, procedures, and regulations

Preferred candidate profile

• 5 to 8  years of experience in hospital billing, Denial Management, and US Healthcare/ US Revenue Cycle Management, hospital billing Prior Authorization
• Strong communication and customer service skills
• Ability to work in a fast-paced environment and meet productivity standards
• Basic knowledge of medical terminology and billing procedures
• Bachelor's degree preferred.

Venue: WorldSource Healthcare India Pvt., Ltd.,

#16, RAJIV GANDHI SALAI, 4TH FLOOR

WEST WING / BLOCK II, OMR

KARAPAKKAM, CHENNAI - 600097.

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