Lead the Way in Quality Prior Auth QA Executive

3 weeks ago


Chennai, India GS Infotech Full time

Lead 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 professionals who can go beyond simple checks, proactively identifying process bottlenecks and ensuring every claim is handled with precision and compliance to maximize reimbursement and minimize denials. Our vision is to be a leader in this, building a seamless and flawless financial process for our clients. What you will do/: You will be responsible for conducting rigorous quality audits on prior authorization requests and associated documentation. Your tasks will include verifying patient demographic information, checking for accurate coding, and ensuring that all necessary clinical documentation is in place to support the medical necessity of the service. Your ability to identify and report on trends in errors and provide constructive feedback to improve team performance will be essential in driving a culture of continuous quality improvement. We invite you to apply and explore this exciting opportunity Warm Regards, HR /- Maria



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