Prior Authorization QCA Turning Checks into Confidence

2 days ago


Chennai, India GS Infotech Full time

Prior Authorization QCA Turning Checks into Confidence Job Description Your Contribution/: You will be directly responsible for auditing submitted prior authorization requests against established payer and client guidelines, ensuring 100% accuracy in patient demographics, procedure codes CPT/HCPCS, and medical necessity documentation. Your expertise will be critical in/: Developing and utilizing QA checklists to track authorization process completeness. Identifying systemic errors or training gaps within the Prior Authorization team. Performing Root Cause Analysis RCA on any failed authorizations or subsequent denials. Providing detailed, actionable feedback to team members to drive immediate improvement Experience/: 3 to 5 yrs Salary/: Based on Company Norms Education/: Any Basic Degree Location/: In And Around Chennai Immediate Joiner Mostly Preferred Interested Candidates Contact the HR ASAP Warm Regards, HR /- Maria



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