
Prior Authorization Executive
4 weeks ago
Department: Revenue Cycle
Designation: Medical Benefits & Authorization Executive
Experience Required: 2-4 years
Job Location: Pune
Shift: India Night Shift / US Shift
**Job Role**:
- Review chart document to ensure patient meets medical policy guidelines.
- Prioritize incoming authorization requests according to urgency.
- Obtain authorization via payer website or by phone and follow-up regularly on pending cases.
- Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
- Initiate appeals for denied authorizations.
- Respond to clinic questions regarding payer medical policy guidelines.
- Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
- Contact patients to discuss authorization status (if required)
**Job Requirements**:
- UG, Graduate or Postgraduate Degree
- Knowledge of US healthcare domain
- Knowledge of Pre-Auth/Referral
- Proficient use of CPT and ICD-10 codes
- Calling etiquettes
- Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
-
Authorization Department for Tpa
4 weeks ago
Pune, India Acme Services Full timeDesignation: Pre-Authorization Executive Roles and Responsibilities: - Investigate the claim by interacting the claimant and the witnesses. - Consult the police, check hospital records and examine property harm to find out the extent. - Investigate and assess the value of the insured item. - Estimate the payments and granted payments of the claims. -...
-
Aem Content Author
4 weeks ago
Pune, India TechChefz Digital Pvt. LTD. Full time**JOB DESCRIPTION - AEM CONTENT AUTHOR** **Company Description** **TechChefz (TCZ Digital Private Limited)** is a digital transformation partner helping established organizations get to their future, digitally-enabled state, both in the way they work and the way they serve their customers. We help unlock value through a start-up mindset and modern methods,...
-
SEO Authority Builder
2 days ago
Pune, Maharashtra, India Anduril Retail Private Limited Full timeJob OverviewWe are seeking an Off-Page SEO Specialist with 1-2 years of experience to join our dynamic team at Anduril Retail Private Limited.The ideal candidate will have a solid understanding of off-page SEO techniques and a passion for digital marketing.This role is responsible for enhancing our website's visibility and driving traffic through various...
-
IT Solution Architect
4 days ago
pune, India Siemens Technology and Services Private Limited Full timeHelloVisionary! We empower our people tostay resilient and relevant in a constantly evolving world. We’re looking forpeople who are always searching for creative ways to grow and learn. People whowant to make a real impact, now and in the future. Does that sound like you?Then it seems like you’d make an excellent addition to our vibrant team.Siemens...
-
Sitecore Author
2 weeks ago
Wanowarie, Pune, Maharashtra, India RankUno Interactive Technologies Full time**Job description for Sitecore Author** A Content Author is responsible for creating, editing, and publishing digital content on websites and other online platforms. They will work closely with content strategists, marketing teams, and designers to ensure that the content is accurate, engaging, and aligned with the organization's goals. Key responsibilities...
-
Executive Architect
4 weeks ago
Pune, India Fourth Dimension Group Full time**Designation: Executive Architect - Liaison** Qualification: B.Arch / Diploma Architecture Desired Experience: 10+ years. - 10+ years of prior Liaison experience for residential/ commercial/mixed use / Industrial projects - Project feasibilities, scrutinizing architectural drawing according to Municipal norms for PMC, PMRDA & PCMC authority, checking of...
-
▷ Only 24h Left! Senior Engineer
2 weeks ago
Pune, India Deutsche Bank Full timeJob Description Senior Engineer - Identity & Access Authorization Position Overview Job Title: Senior Engineer - Authorization & Access Control Location: Pune, India Role Description Deutsche bank's Authorization & Access control team is part of the Identity and access management area within Chief Security Office (CSO). The team provides...
-
It - Sap Authorization Engineer (Urgent)
2 days ago
Pune, Maharashtra, India Solvay Full timeSyensqo is all about chemistry We re not just referring to chemical reactions here but also to the magic that occurs when the brightest minds get to work together This is where our true strength lies In you In your future colleagues and in all your differences And of course in your ideas to improve lives while preserving our planet s beauty for the...
-
Executive Architect
4 weeks ago
Pune, Maharashtra, India Fourth Dimension Group Full time**- 10+ years of prior Liaison experience for residential/ commercial/mixed use / Industrial projects - Project feasibilities, scrutinizing architectural drawing according to Municipal norms for PMC, PMRDA & PCMC authority, checking of working drawings, coordination with consultants for various residential & mix use projects around & within Pune. -...
-
Tracking Executive
3 weeks ago
Pune, Maharashtra, India Yatnavat Technologies Private Limited Full time**Designation: Tracking Executive** **Job Location: Baner, Pune.** **Ready to work in rotational shifts.** **Job Summary**: We are seeking a Tracking Executive to join our team and contribute to our mission of transforming the logistics industry with cutting-edge technology and data-driven insights. **Responsibilities**: - Utilizing various tracking...
-
Tracking Executive
1 week ago
Pune, Maharashtra, India Yatnavat Technologies Private Limited Full time**Designation: Tracking Executive** **Job Location: Baner, Pune.** **Ready to work in rotational shifts.** **Job Summary**: We are seeking a Tracking Executive to join our team and contribute to our mission of transforming the logistics industry with cutting-edge technology and data-driven insights. **Responsibilities**: - Utilizing various tracking...
-
Service Support Executive
3 weeks ago
Shivajinagar, Pune, Maharashtra, India Yoga Enterprises Full time**Job Description - Service Support Executive** **Job title**: Service Support Executive **Location**: Pune **About us**: Yoga Group is a 28 year old pioneer in Healthcare industry, Yoga enjoys a deep relationship with renowned healthcare setups across western Maharashtra. We are authorized channel service partner for Wipro GE Healthcare. **Job...
-
Customer Support
3 weeks ago
Pune, India Cybage Full timeCustomer Support (Healthcare) **Location**: Pune, India **Experience**:3-7 Years - Knowledge in verification, eligibility, and benefits prior authorization checking for this in an EMR. - Lead, evaluate, and maintain processes and workflow to ensure efficient and accurate billing and collections. - Knowledge of creating Date of Service Charges - Post and...
-
Trade Finance Operations
4 weeks ago
Pune, India Riverforest Connections Full time**Business**: - Wholesale Banking Operations **Locations**: - Pune - Model Colony Office. - Prior experience in Banking & especially in Decentralized Trade Finance dept. - Has managed supervisory role / team managing role?(For Team Leader role) - Well versed with Wholesale Banking Operations. **Prime Responsibility**: - ** Authorizer - Trade...
-
Executive Architect
3 weeks ago
Pune, Maharashtra, India Fourth Dimension Group Full timeQualification: Diploma Architecture - Desired Experience: 10+ years. - 10+ years of prior Liaison experience for residential/ commercial/mixed use / Industrial projects - Project feasibilities, scrutinizing architectural drawing according to Municipal norms for PMC, PMRDA & PCMC authority, checking of working drawings, coordination with consultants for...
-
Area Sales Executive
4 weeks ago
Pune, Maharashtra, India Tax Manntri Consultancy Private Limited Full time**Position Title: Sales Executive** **Company Name - TaxManntri Consultancy Private Limited** **Location: Pune** We are seeking a dynamic and results-driven Sales Executive to join our team at TaxManntri Consultancy Private Limited. As a Sales Executive, you will be responsible for driving revenue growth by identifying and acquiring new clients, as well...
-
Presales Executive
2 weeks ago
Pune, India Ram India properties Full timeWe are looking for Presales Executive with prior experience in real estat. **Salary**: ₹10,000.00 - ₹15,000.00 per month Schedule: - Day shift Supplemental pay types: - Commission pay Ability to commute/relocate: - Pune - 411037, Maharashtra: Reliably commute or planning to relocate before starting work (required) **Experience**: - total work: 1...
-
Shipping & Operations Executive
2 weeks ago
Pune, India Hamburg Affiliates Full time**Valhalla Agro Sourcing (OPC) Pvt. Ltd.** We are one of the leading suppliers of bottled/canned foods and frozen products in Europe, USA & Australia; we supply the world’s largest food retailers, discounters and industrial companies worldwide. **Shipping Documentation & Operations Executive** This role is responsible for processing all documentation...
-
Sales Executive
2 weeks ago
Pune, India Chate Coaching Classes Full timeJob: Sales Executive Location: Chate Coaching Classes - Bhosari, Aundh, Shivajinagar, Sinhgad Road, Nagar Road, Chinchwad (multiple locations) Role Description This is a full-time on-site role for a Sales Executive Executive at Chate Coaching Classes in Chinchwad. The Sales Executive will be responsible for doing sales calls and providing customer...
-
L1 Support Executive
2 weeks ago
Pune, Maharashtra, India Webstep Technologies Private Limited Full time**Job Description: L1 Support Executive (.NET Expert) - Pune Location** **Position**: L1 Support Executive **Location**: Pune **Client**: Government Client **Experience**: 2-3 Years **Employment Type**: Full-Time **Job Summary**: **Key Responsibilities**: - Act as the first point of contact for resolving technical issues and providing **Level 1 (L1)...