
Prior Auth Executive
1 week ago
Job description
EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE
Position 1: Prior Authorization Executive- Voice Process.
- Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation.
- Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures
- Get prior authorization approval from insurance firms and nurse managers
- Appeal insurance companies after prior authorization refusals.
- Get prior authorization approval from insurance firms and nurse managers.
- Document account activity using correct medical and billing codes.
- At least 1 year of experience in obtaining prior authorization.
- Interact with the insurance rep to follow-up on appealed authorizations.
- Calling Insurances on claims resolutions and handling the denials for a closure
Qualifications:
- Good organizational skills to implement timely follow-up
- Excellent verbal and written communication skills
- Strong reporting skills
- Ensure accurate & timely follow up where required.
Interested candidates can share their updated resume with below details to
Contact: Mr. Naveen (Director
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