Medical Service Authorizer

2 days ago


Hyderabad, Telangana, India beBeePriorAuthorization Full time ₹ 40,00,000 - ₹ 80,00,000
Revenue Cycle Specialist

The role of the Revenue Cycle Specialist is pivotal in ensuring timely authorization for medical services and procedures. This position entails determining prior authorization requirements, submitting requests to insurance companies, and following up on pending authorizations.

Key Responsibilities:
  • Determine if prior authorization is necessary for proposed medical services, procedures, medications, or admissions based on CPT/ICD codes and payer guidelines.
  • Prepare and submit authorization requests to insurance companies within required timelines.
  • Gather and submit all necessary clinical documentation to support authorization requests.
  • Proactively follow up with payers on the status of pending authorizations to ensure timely approval.
  • Document all authorization numbers, approval/denial reasons, and relevant communication in the patient record and billing system.


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