Pre Authorization

Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we...

Review and process prior authorization requests for medical procedures. Verify insurance coverage and ensure all necessary information is accurate. Communicate with insurance companies, and staff regarding authorization status. Maintain detailed records of authorizations and follow-up as needed. Stay updated on insurance guidelines and regulations...

Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we...

Business UnitResolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we...

Business Unit:Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we...

Also below is the Job Description for the role**:Key Responsibilities**: - Obtains and reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries. - Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online...

JOB DESCRIPTIONDesignation/ Role: TraineeDepartment: Pre-AuthorizationWork Timing: Night ShiftQualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred)Skills:Excellent verbal and written communication Skills.Able to build rapport over the phone.Strong analytical and problem-solving skills.Be a team player with positive approach.Good keyboard...

JOB DESCRIPTIONDesignation/ Role: TraineeDepartment: Pre-AuthorizationWork Timing: Night ShiftQualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred)Skills:Excellent verbal and written communication Skills.Able to build rapport over the phone.Strong analytical and problem-solving skills.Be a team player with positive approach.Good keyboard...

Job Descriptions for Pre-Sales ConsultantsAbout Jios Hyper Automation Product Engineering TeamWe are building next-generation Infra services & operations platforms catering to a Hybrid cloud environment. This platform will have all the necessary functions & features to achieve Operational Intelligence.  Viz. Consumer Onboarding, Multi-Cloud Market Place...

Key Responsibilities for AR: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e.,...