Pre Authorization Executive- Hospital Claim process

Role & responsibilitiesDevelop and execute insurance/TPA strategy aligned with hospital growth.Drive empanelment with new insurers and negotiate contracts/tariffs.Oversee end-to-end operations: pre-authorizations, approvals, claims submission, and reimbursements.Reduce claim denials and ensure timely collections.Lead and mentor the insurance/TPA team; set...

Job SummaryWe are looking for young and energetic Male candidates who can excel in their position with good analytical and probing skills in Accounts Receivable and Pre-Authorization processResponsibilities and DutiesResponsible for initiating Prior Authorization requests to Insurances across US on behalf of Provider OfficeFollow up on the Prior...

Job SummaryThe Outpatient (OP) Billing Executive is responsible for managing all aspects of outpatient billing, ensuring accuracy, efficiency, and compliance with hospital policies and standard billing procedures. The role involves coordinating with patients, doctors, and other hospital departments to facilitate a smooth billing process and provide excellent...

Insurance Manager – Hospital & Medical CollegeTagore Medical College & Hospital – Chennai, Tamil NaduFull-time | On-siteAbout Us:Tagore Medical College & Hospital is a leading institution in medical education and healthcare, committed to excellence in patient care, academics, and administration. We are seeking an experienced Insurance Manager to oversee...

Roles and ResponsibilitiesProcess claims from receipt to payment, ensuring accurate and timely submission.Verify patient demographics, insurance information, and medical necessity for each claim.Determine appropriate procedure codes using ICD-10-CM/PCS, CPT, HCPCS Level II codes.Calculate patient balances due after applying deductibles, copays, coinsurance,...

Job ResponsibilitiesTo manage day-to-day Hospital administrative tasks to ensure smooth Hospital Administration /operations. To facilitate quality care and maintain Patient relationsMust coordinate with various departments to ensure seamless and prompt patient care services are providedTo liaise with other Health care professionals in the Hospital to support...

We are looking for someone who has handled Health Insurance claims, especially Pre Authorization. An ideal candidate is someone who has worked in TPA, Insurance companies, and in Insurance desk in Hospitals.Qualifications:Minimum 6 months of relevant experienceMust be from ChennaiJob Type: Full-timePay: ₹17, ₹37,460.88 per month

Min1 Exp in AR Calling Pre Auth Process. Strong exposure to EV, Authorization, and Underpayment Recovery. Sound understanding of US Healthcare RCM processes. Excellent comm required. Flexible to work in night shift and meet performance targets. Required Candidate profileFixed weekends off Saturday & Sunday 2-way cab facility Night shift allowance ...

Job Title: Insurance Manager Company Name: Kauvery Hospitals Job Description: The Insurance Manager at Kauvery Hospitals will be responsible for overseeing the insurance processes within the organization. This role involves managing relationships with insurance providers, ensuring compliance with regulatory requirements, and minimizing financial risk...

Job Description:1.Perform pre-call analysis and check status by calling the payer or using IVR or web portal Services2.Maintain adequate documentation on the client software to send necessary documentation to Insurance companies and maintain a clear audit trail for future reference3. Record after-call actions and perform post call analysis for the claim...