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MBBS Doctor Auth Specialist in US Healthcare

1 week ago


Noida, Uttar Pradesh, India Vistec Partners Full time

Job Description

As a Medical Billing Specialist for US Healthcare at Vistec Partners, you will play a vital role in ensuring that patients receive timely and necessary medical care while navigating the complexities of insurance and authorization processes.

You will be responsible for reviewing and assessing requests for prior authorization, verifying patient insurance benefits, and communicating with insurance companies to obtain necessary authorizations. This role requires excellent communication and analytical skills, with the ability to work effectively in a fast-paced environment.

Responsibilities:

  • Review and assess requests for prior authorization, including medical services, procedures, and medications.
  • Verify patient insurance benefits and eligibility through comprehensive intake processes.
  • Communicate with insurance companies to verify coverage and obtain necessary authorizations.
  • Maintain accurate records of all prior authorization requests, including approvals and denials.
  • Document all interactions and decisions in the electronic health record (EHR) system.
  • Liaise with healthcare providers, insurance companies, and patients to gather and confirm required information.
  • Provide clear and concise information to patients regarding their authorization status and any potential barriers to care.
  • Stay up-to-date with changes in insurance policies, regulatory requirements, and procedural guidelines specific to healthcare.

Qualifications:

  • MBBS degree with additional training or certification in medical billing and coding, if possible.
  • Prior experience in a medical business office or healthcare setting involving customer service or patient-facing responsibilities is preferred.