RCM Associate

1 week ago

Pimpri India Biojobz Full time

Job Description Pre Auth: Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance companies with clinical information necessary to secure prior-authorization or referral. Good understanding of the medical terminology and progress notes. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries. Request retro-authorizations when needed. Shift Timings: 5:30 PM to 2:30 AM / 6:30 PM to 3:30 AM EVBV: Responsible for reaching out to the payer to check on the insurance eligibility and the benefits of the patient. Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified. Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. Responsible for analysing an account and taking the correct action. Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. Task claims to appropriate teams where a specific department within IKS or client's assistance is required to resolve them. Shift Timings: 5:30 PM to 2:30 AM / 6:30 PM to 3:30 AM

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    Bangalore India - South rd Floor Huron Full time ₹ 5,00,000 - ₹ 15,00,000 per year

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    1 week ago

    Pimpri-Chinchwad, Maharashtra, India Biojobz Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Pre Auth:● Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.● Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.● Provides insurance companies with clinical information necessary to secure prior-authorization or...

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    India Live Connections Full time

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