US Prior Authorization Coordinator for Healthcare Professionals

7 days ago


Delhi, Delhi, India Macro Outsourcing Full time

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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