Auth and Pre-Auth Medical Services Expert
3 days ago
Vistec Partners is committed to providing high-quality patient care and exceptional service. As an Auth and Pre-Auth Medical Services Expert, you will play a critical role in ensuring that patients receive timely and necessary medical care. We are seeking a highly skilled MBBS doctor to join our team in the United States.
About the Role:- Role Overview: As an Auth and Pre-Auth Medical Services Expert, you will be responsible for reviewing and assessing requests for prior authorization, verifying insurance benefits, and communicating with healthcare providers and patients.
- Key Responsibilities:
In this role, you will:
- Review and Assess Requests: Evaluate prior authorization requests for various medical services, procedures, and medications.
- Verify Insurance Benefits: Confirm patient insurance benefits and eligibility through comprehensive intake processes.
- Document and Record Keeping: Maintain accurate records of all prior authorization requests, including approvals and denials.
- Communication: Liaise with healthcare providers, insurance companies, and patients to gather and confirm required information.
Skills and Qualifications:
- Exceptional Analytical Skills: Able to evaluate medical necessity and substantiate requests based on clinical criteria.
- Strong Communication Skills: Effective verbal and written communication for collaboration with healthcare professionals and insurance representatives.
- Technical Proficiency: Familiar with EHR and medical billing software.
- 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.
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Noida, Uttar Pradesh, India Vistec Partners Full timeJob SummaryVistec Partners is hiring a skilled MBBS doctor to join our team as an Auth Specialist for US healthcare Revenue Cycle Management (RCM). As an Auth Specialist, you will play a vital role in reviewing and assessing prior authorization requests for various medical services, procedures, and medications.About YouWe are looking for a highly skilled and...
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Noida, Uttar Pradesh, India Vistec Partners Full timeAs an MBBS doctor working as an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities: Job Description: Review and Assess Requests: Evaluate prior authorization requests for various medical services, procedures, and medications. Ensure that...
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Noida, Uttar Pradesh, India Vistec Partners Full timeAs an MBBS doctor working as an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities:Job Description:Review and Assess Requests:Evaluate prior authorization requests for various medical services, procedures, and medications.Ensure that all...
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Noida, Uttar Pradesh, India Vistec Partners Full timeJob OverviewVistec Partners seeks a highly skilled MBBS doctor to fill the critical role of an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in our Revenue Cycle Management (RCM) team. As a key member of our healthcare operations, you will be responsible for ensuring timely and necessary medical care for patients navigating complex...
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Noida, Uttar Pradesh, India Vistec Partners Full timeVistec Partners is seeking a highly skilled MBBS doctor to work as an Auth Specialist for US healthcare Revenue Cycle Management (RCM). This role involves reviewing and assessing prior authorization requests for various medical services, procedures, and medications. The ideal candidate will have exceptional attention to detail and strong analytical skills to...
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