Redroad health care solutions

POSITION RCM Executive Job responsibilities include: l Initiate pre-authorization request with payer via Call/web-Portal/Fax. l Follow-up on raised pre-auth request based on time frame set by management / client. l Maintain dynamic Authorization trackers on client applications and internal trackers. l Calling insurance for any update on pending / rejected authorization request to ensure max approval on raised pre-auth requests. l Responding back to client with approved pre-authorization letters which we receive via portals/emails/fax. (applicable sources). l Uploading Approved letters to client applications or reliable sources on timely manner. JOB DESCRIPTION l Primary task is to initiate Pre-authorization request on timely manner. l This process involves calling/using web Portals and faxing. l Must be efficient in managing Turn around Time (TAT) set by management / client. l Agent must be willing to learn new things related to process. l Must be a team player and must share process updates with his/her immediate reporting supervisor. l Take up ownership on every single Pre-auth request assigned until request approved / escalated to client if case of request rejected or held. l Achieve his/her set targets with highest level of quality. JOB REQUIREMENTS l Any Degree with minimum of 2-3 years of experience in US Healthcare. l Good communication skills and must have min 1 years of calling experience. l Should have worked at least 6 months for pre-authorization process. l Strong knowledge in Authorization process and requirements. l Should be willing to work in night shift without cab. (as of today) l Basic Excel knowledge and good writing, good keyboard toggling skills. l Preference will be given to healthcare BPO professionals with experience in voice processes, good typing, and interpersonal skills, along with a good overall performance track record. l Must be willing to take on additional responsibilities assigned. Interested candidate share their profile to navita.s@redroad.in / nityesh.s@redroad.in or do wats app 9999645780 Regards Navita Singh navita.s@redroad.in nityesh.s@redroad.in Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹40,000.00 per month Benefits: Food provided Health insurance Provident Fund Work Location: In person