Prior Auth Executive

4 days ago

Hyderabad, India Kria Infotech Full time

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

Contact: Mr. Naveen (Director

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