Prior Authorization- Medical Billing

1 week ago

Greater Ahmedabad Area, India CrystalVoxx Global LLP Full time ₹ 6,00,000 - ₹ 8,00,000 per year

Position
: Prior Authorization Executive- Voice Process

Shift
: US Shift (5:30 pm- 2:30 am)

Location
: Ahmedabad (work from office only)

Responsibilities
:

 Review and process prior authorization requests received from healthcare

provides.

 Verify all required documents and information from healthcare providers.

 Prepare and submit authorization requests to insurance companies on time.

 Interact with healthcare providers insurance companies and patients to gather

necessary information and resolve authorization related issues.

 Respond to inquiries and guide the authorization process.

 Stay informed about insurance policies, guidelines and regulatory changes.

 Ensure strict adherence to all relevant compliance standards, including HIPPAA

and other privacy regulations.

 Maintain detailed records of all authorization requests, approvals and denials

 Update patient records and billing systems with authorization information.

 Generate reports and documentation as needed for internal and external purposes.

 Conduct thorough reviews of authorization requests to minimize errors and

discrepancies.

 Continuously seek opportunities to improve authorization processes

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