▷ Immediate Start: Prior Authorisation QA in the Global Medical Process
2 days ago
Prior Authorisation QA in the Global Medical Process Job Description Experience/: 4/+ yrs Salary/: Based on Previous Experience Education/: Any Basic Degree What You will do/: Perform Quality Audits/: You will conduct comprehensive quality audits on completed prior authorization requests before the patient encounter or claim submission. Ensure Data Integrity/: You will meticulously review patient demographics, insurance eligibility, procedure codes, diagnosis codes, and clinical notes to ensure 100% accuracy and consistency with payer requirements. Monitor Compliance/: You will verify that all authorization requests were submitted to the correct payer and follow/-up was performed according to established internal and external procedures, including HIPAA regulations. Identify and Report Trends/: You will track and analyze quality metrics, identifying systemic errors or training gaps within the PA team. You will prepare detailed reports on audit findings, denial patterns, and suggested process improvements. Drive Process Improvement/: You will collaborate with the PA team, training department, and management to implement Corrective and Preventive Actions based on audit results to enhance overall quality and efficiency. Ready to take the leap HR /- Maria
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Chennai, India GS Infotech Full timePrior approval QA in the Global Healthcare Process Job Description Who You Are/: You are the crucial expert and last line of defence in this mission as a Prior Authorisation QA Executive. Your main responsibility is to carefully review and confirm every prior authorisation request that the team processes before sending it to insurance payers. You can...
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Progression in US Healthcare Prior Authorisation
4 weeks ago
Chennai, India GS Infotech Full timeProgression in US Healthcare Prior Authorisation Job Description Focus Skills/: Preventive financial clearance and compliance are key components of medical revenue cycle management's /(RCM/) future. We guarantee that treatments are approved quickly by using technology to expedite the intricate Prior Authorisation /(PA/) procedure. This significantly lowers...
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Chennai, India GS Infotech Full timeQA Executive Prior Authorization in Medical Billing Job Description Focus Skills/: Medical revenue cycle management RCM requires impeccable quality and audit/-readiness at every level in the future. By making sure that every permission obtained is completely accurate, documented, and compliant, Prior Authorisation PA QA is becoming an increasingly important...
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AR,Prior Auth
5 days ago
Chennai, Hyderabad, Mumbai, India Axis Services Full time ₹ 40,000 - ₹ 5,75,000 per yearOpenings for experienced - AR Callers , Prior Authorisation , Medical Billing , Eligibility Verification || Up to 5 LPA || Locations : Hyderabad , Chennai , Mumbai ||AR Caller :Min 1 yr of exp in AR Calling with Denial Management either into PhysicianLocations : Hyderabad , Chennai , MumbaiPackage : Up to 40 K take homePrior Authorisation :Min 1 yr Of exp in...
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Chennai, India GS Infotech Full timeQCA Process Quality and Authorisation for Night Shift Job Description Who You Are/: As a Prior Authorization QCA, you are a critical guardian of this mission. You'll be responsible for meticulously auditing and verifying prior authorization requests before they are submitted to insurance payers. By conducting thorough quality checks on patient data, CPT...
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Chennai, India GS Infotech Full timePrior Authorization QCA Build a Career in Medical Billing Job Description Who You Are/: As the last line of defence and a critical specialist in this mission, you are a Prior Authorisation QCA Quality Control Analyst. Performing a thorough audit and verification of every prior authorisation request that the team processes before sending it to insurance...
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Your Road to Management Prior Authorization
2 days ago
Chennai, India GS Infotech Full timeYour Road to Management Prior Authorization Job Description Who You Are/: Case Management/: You will oversee a large number of prior authorisation requests, making sure that all required clinical evidence is sent to insurance payers on time and accurately. Payer Communication/: As the main liaison with insurance companies, you will enquire about...
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Chennai, India GS Infotech Full timePrior 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...
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Lead the Way in Quality Prior Auth QA Executive
13 hours ago
Chennai, India GS Infotech Full timeLead the Way in Quality Prior Auth QA Executive Job Description Experience/: 4 to 7 yrs Salary/: Based on Previous Experience Challenges/: The medical billing industry is rapidly evolving, moving towards a future where data/-driven insights and automated workflows are key to optimizing the revenue cycle. The future of quality assurance in this field demands...
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Chennai, India GS Infotech Full timeProcess Authorization QCA Job Medical Billing Job Description Ideal Candidate/: As a Process Authorisation QCA, your expertise and attention to detail will be essential. You will be responsible for auditing a high volume of prior authorization cases, identifying and rectifying errors, and ensuring strict adherence to our standard operating procedures. You...