Pre-authorization Executive

5 days ago

Chennai Tamil Nadu, India 247 HealthMedPro Full time

**Experience**: Up to 2 years of experience in pre-authorization, insurance verification, or related healthcare administrative roles.

**Job Summary**:
**Key Responsibilities**:

- **Pre-Authorization Requests**: Assist in reviewing and processing pre-authorization requests for medical procedures, services, and prescriptions, ensuring compliance with insurance guidelines.
- **Insurance Verification**: Support in verifying patient insurance coverage and eligibility for requested services, ensuring accuracy of information before submission.
- **Coordination with Providers**: Communicate with physicians, medical staff, and insurance companies to collect necessary documentation for authorizations.
- **Documentation**: Maintain accurate records of pre-authorization activities in the electronic health record (EHR) system, ensuring timely follow-ups.
- **Communication**: Provide clear and effective communication with patients and healthcare providers regarding authorization statuses and any necessary follow-up.
- **Compliance**: Ensure that pre-authorization processes align with current healthcare regulations and insurance requirements.
- **Denial Management**: Assist in managing denied authorization requests by collaborating with the clinical team and insurers to resolve issues.

**Skills**:

- Basic understanding of medical terminology and healthcare insurance processes.
- Strong organizational skills and attention to detail.
- Effective communication and customer service skills.
- Proficiency in Microsoft Office and EHR systems is a plus.

**Job Types**: Full-time, Permanent

**Benefits**:

- Food provided
- Health insurance
- Provident Fund

Schedule:

- Night shift
- Rotational shift

Supplemental Pay:

- Yearly bonus

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

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