Pre Authorization Executive

1 week ago

Chennai, India Romas Management Services Full time

Openings 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 Calls pls)

**Job Description**:

- Minimum 3 years’ experience is required in Pre-Authorization process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance.
- Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and completes administrative duties.
- Work in teams that process Authorization & Referral transaction which strive to achieve team goal.
- Can review clinical documents for prior authorization/pre-determination submission purposes.
- Who can contact referral source, patient, and/or doctor’s office to obtain additional information that is required to Complete verification of benefits or prior approvals.
- Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization.
- Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner.
- Ensures the appropriate notification of patients regarding their financial responsibility, benefit coverage, and payer authorization for services to be provided.
- Maintains prior authorizations and verifies insurance coverage for ongoing services.
- Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
- Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information.
- Refer patients to Financial Counselors as needed to finalize payment for services.
- Document financial and pre-certification information according to a defined process on time.
- Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process.
- Good Knowledge and understanding of Human Anatomy.
- Proficiency in Microsoft office tools
- Willingness to work the night shift / Semi Shift

**Salary**: ₹450,000.00 - ₹500,000.00 per year

**Benefits**:

- Health insurance

Schedule:

- Evening shift
- Monday to Friday

Supplemental pay types:

- Overtime pay
- Performance bonus

Ability to commute/relocate:

- Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- Pre Authorization: 2 years (required)

**Speak with the employer**
+91 8291079229

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