US Prior Authorization Coordinator for Healthcare Professionals
7 days ago
Company Overview
Macro Outsourcing Private Limited is a leading Business Process Outsourcing firm that specializes in supporting US-based doctors and healthcare practices.
About the Role
We are seeking a skilled and detail-oriented Prior Authorization Specialist to obtain prior authorizations for referrals, procedures, medications, and other medical services for doctor's offices in the United States.
Key Responsibilities
- Prior Authorization Requests: Initiate and follow up on prior authorization requests as required by various insurance providers.
- Documentation Management: Gather necessary medical documentation and patient information required for successful prior authorizations.
- Insurance Verification: Confirm patient insurance eligibility and determine specific requirements for prior authorizations based on the insurer.
- Communication: Liaise with insurance companies, healthcare providers, and relevant parties to resolve authorization issues.
- Tracking & Reporting: Monitor the status of prior authorization requests and maintain accurate records of interactions.
- Compliance: Adhere to HIPAA guidelines and other US healthcare regulations regarding patient information and data security.
Requirements
- Experience: At least 2+ years of experience in prior authorization, medical billing, or related roles within the US healthcare system.
- Knowledge: Familiarity with US insurance companies, authorization processes, medical terminology, and HIPAA regulations.
- Technical Skills: Proficiency in medical billing software and other healthcare management platforms; strong knowledge of Microsoft Office Suite (Excel, Word).
- Communication Skills: Excellent verbal and written communication skills in English for effective interaction with US-based clients and insurers.
- Attention to Detail: High degree of accuracy and meticulous attention to detail, particularly when managing patient data and insurance documentation.
Job Location
Safdarjung Enclave, New Delhi
Estimated Salary Range: ₹600,000 - ₹900,000 per annum, depending on qualifications and experience.
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