Tl- Authorization

3 days ago

Prahlad Nagar Ahmedabad Gujarat, India CrystalVoxx Global LLP Full time

**Team Leader - Authorization**

**MUST HAVE**:

- **High comfort level working on Mountain Time Zone/ US Shift - 6:30pm to 3:30am**

**Job Summary**: The Prior Authorization Team Lead is responsible for processing and obtaining prior authorizations from insurance providers to ensure patients receive necessary medical services and treatments. He is supposed to work as a team, play a critical role in navigating the complex world of insurance authorization processes, and report to the team lead.

**Key Responsibilities**:
Authorization Processing:

- Review and process prior authorization requests received from healthcare providers.
- Verify that all required documentation and information are complete and accurate.
- Prepare and submit authorization requests to insurance companies on time.

Communication:

- Interact with healthcare providers insurance companies, and patients to gather necessary information and resolve authorization-related issues.
- Communicate authorization status, requirements, and updates to relevant stakeholders.
- Respond to inquiries and guide the authorization process.

Policy and Regulation Compliance:

- Stay informed about insurance policies, guidelines, and regulatory changes.
- Ensure strict adherence to all relevant compliance standards, including HIPAA and other privacy regulations.

Documentation and Recordkeeping:

- Maintain detailed records of all authorization requests, approvals, and denials.
- Update patient records and billing systems with authorization information.
- Generate reports and documentation as needed for internal and external purposes.

Quality Assurance:

- Conduct thorough reviews of authorization requests to minimize errors and discrepancies.
- Collaborate with team members to identify and resolve issues related to denied authorizations.
- Continuously seek opportunities to improve authorization processes.

Team Collaboration:

- Work closely with other members of the prior authorization team to ensure efficient workflow and knowledge sharing.
- Assist team members as needed to meet departmental goals and deadlines.

Schedule:

- Fixed shift
- Monday to Friday
- Night shift

**Experience**:

- US healthcare: 1 year (preferred)

Ability to Commute:

- Prahlad Nagar, Ahmedabad, Gujarat (preferred)

Work Location: In person

**Speak with the employer**

+91 7567051888

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