Authorization Executive

5 days ago

Gurugram New Delhi Noida, India Outpace Consulting Services Full time ₹ 8,00,000 - ₹ 10,00,000 per year

Hi,

We Are Hiring for Leading ITES Company In Gurgaon for Pre - Authorization Role

Key Highlights:

1: B.Pharma / M.Pharma / BDS required with minimum 1 year of any medical experience

2: Candidate Must Not Have Any Exams in the Next 6 Months

3: 24x7 Shifts

4: 5 Days Working

5: Both Side Cabs

6: Immediate Joiners Preferred

Daily Walkin @ Outpace Consulting, C-29, Sec 2 Noida (Nearest Metro Noida Sec 15, Exit Gate 3)

Landmark : Near Hotel Nirulas

Walkin Time : 11 am to 3 Pm

Shadiya @

Whatsapp Your CV @

Key Responsibilities:

  • Reduced Denials and Improved Cash Flow
  • Proactive preauthorization management significantly reduces the risk of denials, ensuring timely reimbursements and a healthier cash flow.
  • Cost Control for Both Parties Preauthorization allows insurance companies to control healthcare costs by ensuring services are medically necessary and adhere to established
  • Minimizing Claim Denials and Ensuring Reimbursement
  • A strong authorization process directly reduces claim denials by ensuring that services, treatments, or procedures meet insurance coverage criteria before they are rendered.
  • Streamlining Operational Efficiency:
  • Expertise in prior authorization streamlines the entire RCM process by pre-emptively
  • Enhancing the Patient Experience
  • It leads to a smoother patient journey by minimizing unexpected out-of-pocket costs and reducing the likelihood of treatment delays or cancellations due to coverage issues.
  • Ensuring Compliance and Managing Payer Relationships
  • Staying updated on ever-changing insurance policies and guidelines is vital for successful authorization, preventing disputes and maintaining positive relationships with payers
  • Resource Allocation and Prevention of Fraud
  • Prior authorization helps ensure that resources are used efficiently by approving only medically necessary treatments and acts as a safeguard against fraud and abuse within the healthcare system.

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