Pre Authorization Executive

4 weeks ago

Chennai, India Romas Management Services Full time

Openings in Pre Auth Department
- Chennai.

1. Team Leader/ Group Cordinator.

Exp
- Min 3yrs in Pre Auth & atleast 1yr in Team Management.

Salary
- 6.5lpa.

2. Sr Executive/ Executive.

Exp
- Min 2 yrs in Pre Auth.

Salary
- 5lpa

Excellent communication skill is must.

Immediate Joiners preferred.

Work from Office.

Whatsapp Resume
- 8291079229. (No Calls pls)

**Job Description**:

- Minimum 3 years’ experience is required in Pre-Authorization process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance.
- Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and completes administrative duties.
- Work in teams that process Authorization & Referral transaction which strive to achieve team goal.
- Can review clinical documents for prior authorization/pre-determination submission purposes.
- Who can contact referral source, patient, and/or doctor’s office to obtain additional information that is required to Complete verification of benefits or prior approvals.
- Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization.
- Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner.
- Ensures the appropriate notification of patients regarding their financial responsibility, benefit coverage, and payer authorization for services to be provided.
- Maintains prior authorizations and verifies insurance coverage for ongoing services.
- Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
- Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information.
- Refer patients to Financial Counselors as needed to finalize payment for services.
- Document financial and pre-certification information according to a defined process on time.
- Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process.
- Good Knowledge and understanding of Human Anatomy.
- Proficiency in Microsoft office tools
- Willingness to work the night shift / Semi Shift

**Salary**: ₹450,000.00 - ₹500,000.00 per year

**Benefits**:

- Health insurance

Schedule:

- Evening shift
- Monday to Friday

Supplemental pay types:

- Overtime pay
- Performance bonus

Ability to commute/relocate:

- Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- Pre Authorization: 2 years (required)

**Speak with the employer**
+91 8291079229

  • Pre Authorization

    7 days ago

    Saidapet, Chennai, Tamil Nadu, India Zenmed Solutions Private Limited Full time

    **Location : We are looking around Chennai** **Get in touch with HR Vishnupriya - 9884515556 - **MODE OF INTERVIEW: Face to Face**_ - **Domain**_**: US Healthcare - Medical Billing - **Shift Timing**_**:* _**Night Shift*_ 6:30 PM - 3:30 AM **Job Description: AR Caller - Pre Authorization Specialist** - Good understanding of the medical terminology and...

  • Author

    2 months ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Pre Sales Executive

    1 month ago

    Chennai, India timesjobs Full time

    Pre Sales Executive Experience: 0 to 1 year No of Vacancies: 3 Job Location: Chennai Job Type: Full time Job Description: The Pre Sales Executive should be efficient in taking care of the inbound sales calls and inbound sales chat and responsible for helping sales team to achieve their sales target and should be instrumental in acquiring new business for...

  • Pre Sales Executive

    2 weeks ago

    Chennai, India timesjobs Full time

    Pre Sales Executive Experience: 0 to 1 year No of Vacancies: 3 Job Location: Chennai Job Type: Full time Job Description: The Pre Sales Executive should be efficient in taking care of the inbound sales calls and inbound sales chat and responsible for helping sales team to achieve their sales target and should be instrumental in acquiring new business for...

  • Author for Redux Technology

    7 days ago

    Chennai, India Guvi Geek Network Private Limited Full time

    Role: Author for Redux technology Nature of Job: Freelancer Location: Remote Course name: Redux **Skills**:Course expertise Hands-on experience Teaching skills Presentation skills Communication skills Time management **Responsibilities**: Providing sample videos and content plan/syllabus Providing pre-recorded, ready-to-launch videos according to the...

  • Pre Sales Executive

    2 weeks ago

    Chennai, Tamil Nadu, India timesjobs Full time

    Pre Sales Executive Experience: 0 to 1 year No of Vacancies: 3 Job Location:Chennai Job Type: Full time Job Description: The Pre Sales Executive should be efficient in taking care of the inbound sales calls and inbound sales chat and responsible for helping sales team to achieve their sales target and should be instrumental in acquiring new business for...

  • Pre Sales Executive

    1 month ago

    Chennai, Tamil Nadu, India timesjobs Full time

    Pre Sales Executive Experience: 0 to 1 year No of Vacancies: 3 Job Location:Chennai Job Type: Full time Job Description: The Pre Sales Executive should be efficient in taking care of the inbound sales calls and inbound sales chat and responsible for helping sales team to achieve their sales target and should be instrumental in acquiring new business for...

  • Gcp Course Author

    2 months ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Aws Course Author

    2 months ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Altium Course Author

    1 month ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Ios Course Author

    1 month ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Iot Course Author

    2 months ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Graphql Course Author

    2 weeks ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Arduino Course Author

    4 days ago

    Chennai, India GUVI Geek Network Pvt Ltd Full time

    **ABOUT US**: Our products consisting Zen - LIVE classes are mentored by IIT Professors having Industrial expertise in various high-end courses with 100% placement support, HackerKID is India’s first self-paced Gamified Coding and Learning platform which encourages kids to master cutting-edge technologies in-depth in a fun and challenging way, GUVI for...

  • Pre Sales Executive

    2 weeks ago

    Chennai, India timesjobs Full time

    JOB DETAILS1)Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails2)Understand customer needs and requirements3)Route qualified opportunities to the appropriate sales executives for further development and closure4)Close sales and achieve quarterly quotas5)Research accounts, identify key players and generate...

  • Pre Sales Executive

    1 month ago

    Chennai, India timesjobs Full time

    JOB DETAILS1)Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails2)Understand customer needs and requirements3)Route qualified opportunities to the appropriate sales executives for further development and closure4)Close sales and achieve quarterly quotas5)Research accounts, identify key players and generate...

  • Pre Sales Executive

    2 weeks ago

    Chennai, Tamil Nadu, India timesjobs Full time

    JOB DETAILS1)Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails2)Understand customer needs and requirements3)Route qualified opportunities to the appropriate sales executives for further development and closure4)Close sales and achieve quarterly quotas5)Research accounts, identify key players and generate...

  • Pre Sales Executive

    1 month ago

    Chennai, Tamil Nadu, India timesjobs Full time

    JOB DETAILS1)Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails2)Understand customer needs and requirements3)Route qualified opportunities to the appropriate sales executives for further development and closure4)Close sales and achieve quarterly quotas5)Research accounts, identify key players and generate...

  • Pre Sales Executive

    1 month ago

    Chennai, India timesjobs Full time

    SALARY: Upto 3 LPAJOB DETAILS1)Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails2)Understand customer needs and requirements3)Route qualified opportunities to the appropriate sales executives for further development and closure4)Close sales and achieve quarterly quotas5)Research accounts, identify key players...

  • Pre Sales Executive

    2 months ago

    Chennai, India Isha Homes Full time

    **Job Category**:Pre Sales Executive**Job Type**:Full Time**Job Location**:chennai**No Of Position**:4