Pre-approval Officer
1 week ago
Responsible for registration and length of stay (LOS) assignment for all acute care hospitals admissions. Reviews and Discusses with nurses and physicians on denied cases or pending cases. Submits all requests, including required forms and limited documentation when requested, via DHPO/ websites. Notifies Hospitals by written notification of approval, rejection and denial of requests. Applies judgement in reconsideration for appeal of rejected cases.
**Primary Responsibilities**:
- Preapproval and Precertification for claims requiring approval.
- Making Cost estimates according to procedures
- Monitoring and follow up on prior authorization for outpatient/inpatient services
- Scanning of cases to identify lack of documentation by physician/ reports prior to submitting to payer
- Contacting the payers/TPA for approval related matters. Communicates adequately with external parties.
- Contacting the physician/nurses for further clarification to make the claim eligible for preapproval.
- Inform and influence others by clear, concise expression of ideas and information in verbal and written as appropriate
- Timely and meets deadlines.
- Reporting trends related to preapproval to reporting TL /Supervisor
**Requirements**:
- Medical Background
- Medical Coding knowledge preferred. Certification will be added advantage
- Fresher for Junior Level post,
- Medical Billing Knowledge with certification will be as well an added advantage.
- Proficient in the software modules. (Microsoft Word and Excel)
- Strong background of various insurance pre-authorization protocols and portals
-
Pre-approval Officer
2 weeks ago
Chennai, India ACCUMED Full time**Job Family Summary**: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back-end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with mínimal or no rejections. **Role Summary**:...
-
Pre Authorization Executive
4 days ago
Chennai, India Romas Management Services Full timeOpenings in Pre Auth Department - Chennai. 1. Team Leader/ Group Cordinator. Exp - Min 3yrs in Pre Auth & atleast 1yr in Team Management. Salary - 6.5lpa. 2. Sr Executive/ Executive. Exp - Min 2 yrs in Pre Auth. Salary - 5lpa Excellent communication skill is must. Immediate Joiners preferred. Work from Office. Whatsapp Resume - 8291079229. (No...
-
Chennai, Tamil Nadu, India ViFin Full time ₹ 40,000 - ₹ 60,000 per yearJob Title: Pre-Authorization Executive – Health Insurance ClaimsDepartment: Insurance DeskLocation: ChennaiExperience: 0.6–2 yearsJob Summary:The Pre-Authorization Executiveis responsible for handling insurance-related processes for patients admitted under health insurance coverage. The role involves coordinating with doctors, patients, and Third-Party...
-
Pre
2 days ago
Chennai, Tamil Nadu, India V Group Limited Full time ₹ 45,00,000 - ₹ 80,00,000 per yearVacancy NoVN15259Employment TypePermanentLocation CountryIndiaWork LocationChennaiWho are V?As a global leader in ship management and marine services, we add value to a vessel's operations. Operating around the clock and around the world, V. gives every client the quality and efficiency they need in every sector. Covering crew management and recruitment,...
-
Civil Tender Pre-qualification
2 days ago
Chennai, Tamil Nadu, India Renaatus Projects Private Limited Full time**Job Title**: Senior Executive - Civil Tender Pre-Qualification **Location**: Chennai **Department**: Business Development **Employment Type**: Full-Time **Job Summary**: The Senior Executive - Civil Tender Pre-Qualification will play a critical role in managing and preparing pre-qualification documents for civil tenders. This position is responsible...
-
Pre Sales Executive
2 weeks ago
Chennai, Tamil Nadu, India SRM Technologies Full time ₹ 4,00,000 - ₹ 8,00,000 per yearJob Description: Pre-Sales ExecutivePrerequisites:Strong communication skills (verbal and written).Background in product engineering (electronics and mechanical) with 5-10 years of pre-sales experience.Familiarity with proposal writing, RFPs, RFQs, and related pre-sales activities.Willingness to work from the office.Adaptability to learn new technologies and...
-
Redressal Officer
4 days ago
Chennai, India Riverforest Connections Full time**Job Description **Job Purpose** : To handle credit card complaints received as first time to MD/PNO/TTU/GH desk and complaints received at Grievance Desk, Senior Management, Nodal officer Desk, Legal cases, Police and IT. To handle Debit/Prepaid/Merchant acquiring and Payzapp complaints received at Senior Management/Top Management, Regulatory, Police and...
-
Sr. Design Engineer
3 weeks ago
Chennai, India Larsen & Toubro Full timePreparation of Pre-bid engineering for tender document & raising pre-bid queries to the Client/Consultant . Attending pre-bid meeting and getting clarified if not visiting the project place with Client for clarification. Preparation of competitive Bill of Quantities (BOQ), design calculations, technical deliverables as per scope of work specified in Tender...
-
Insurance Coordinator
1 week ago
Chennai, Tamil Nadu, India Vizza Fintech Private Limited Full time ₹ 3,60,000 - ₹ 10,80,000 per yearJob Title: Pre-Authorization Executive – Health Insurance ClaimsLocation: ChennaiExperience: 0.6–2 yearsJob Summary:The Pre-Authorization Executive is responsible for handling insurance-related processes for patients admitted under health insurance coverage. The role involves coordinating with doctors, patients, and Third-Party Administrators (TPAs) to...
-
Gm- Pre-sales
2 days ago
Chennai, India Saaki Argus & Averil Consulting Full time**About Client**: A leading a provider of technology products and services. The company's IT product offerings include PC's, laptops, tablets, notebooks, smart phones, desktop, printers, wearables and accessories, solar energy products and lifestyle products such as gaming and consumer audio products. It is also a US $7.7 billion distribution and supply...