prior authorization

Description We are seeking a detail-oriented Prior Authorization Specialist to join our healthcare team in India. The ideal candidate will be responsible for reviewing and processing prior authorization requests for medical services, ensuring compliance with insurance policies and regulations. Responsibilities Review and assess prior authorization...

**Were Hiring: Prescription Prior Authorization Specialist** **We are looking for a knowledgeable Prescription Prior Authorization Specialist to join our team. This role involves managing prior authorizations for treatments and medications while coordinating with providers, insurers, and patients to ensure timely approvals.** **What Were Looking...

**"HIRING ALERT PRIOR AUTHORIZATION SPECIALIST"** **Location:** Chennai **Work Mode:** Work From Office **Experience:** 1+ Years **Shift:** Night Shift **Two-Way Cab Facility Available** Job Title: **Prior Authorization Specialist** **Key Responsibilities:** • Handle **Prior Authorization** requests with US insurance companies...

**Job Title: Prior Authorization Voice Process** **Location:** Chennai **Work Mode:** Work From Office (WFO) **Job Description** We are hiring experienced candidates for the **Prior Authorization Voice Process** Eligibility Criteria - **Experience:** Minimum 1+ year in Prior Authorization Voice Process only. - **Qualification:** Any Degree...

Key Responsibility: • • Meet Quality and productivity standards. • Contact insurance companies for further explanation of denials & underpayments • Should have experience working with Multiple Denials. • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. • Should be thorough with all...

Experience in Prior authorization for an Imaging center/ Laboratory/ Hospital or billing company Exposure to Radiology claims prior and retro authorization Obtain insurance prior authorizations by assessing patient needs, collecting required information, submitting requests, and ensuring follow-up for authorization details. Handle multiple prior...

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Job Description • Submit prior authorization requests with all necessary documentation. • Verify patient insurance coverage and benefits. • Collect and maintain accurate medical records and documents. • Liaise with healthcare providers, insurance companies, and patients. • Address and resolve prior authorization denials, including appeals. •...

Job description Accountable for US insurance order intake, eligibility verification, wrangling, and prior authorization An extremely vital and time-sensitive role for bringing clean and qualified orders into the door and supporting the highest patient experience This role drives the holistic effectiveness of the entire revenue cycle stream and is singularly...

About SummitNext SummitNext is an international business process outsourcing (BPO) company providing customer experience, back-office operations and specialized business support services to clients across multiple industries and geographies. We are expanding our healthcare and pharmacy operations capabilities to support pharmacies and healthcare...

Job Description: Job Summary We are seeking a detail-oriented and patient-focused Remote Scheduler to manage appointment scheduling, patient communication, and administrative coordination in a healthcare setting. The role involves handling inbound and outbound calls, verifying patient eligibility and insurance, coordinating telemedicine and in-person...

Job Description: Responsibilities: - • Developing the latest user-facing features using React.js• Designing a modern highly responsive web-based user interface• Building reusable components and front-end libraries for future use• Translating designs and wireframes into high-quality code• Learn and understand user interactions• Optimizing...

Job Description: Responsible    Preparing building project cost estimates based on client requirements and securing necessary approvals from government authorities. Additionally, tasked with drafting Standard Bidding Documents (SBD) in accordance with the sanctioned estimates and managing their official approval process prior to final...

Job PurposeTo evaluate and adjudicate pre-authorization requests by reviewing medical details, policy terms, and insurer concurrence, ensuring accurate and timely approvals that contribute to effective processing and customer satisfaction.Principal AccountabilitiesProcess pre-authorization requests: Ensure timely and accurate adjudication (approval,...

About SummitNext SummitNext is a growing international BPO company providing specialized business operations, customer experience and back-office support to organizations worldwide. We are expanding our healthcare and pharmacy services to support US-based retail pharmacies, specialty pharmacies, mail-order pharmacies and other pharmacy-related...

The Associate Corporate Counsel will provide support to litigation counsels in handling labor and employment matters as well as real estate disputes across India. The position is based in Delhi and is for a fixed term of 3 years.The role involves assisting with case management and legal proceedings. This includes reviewing cases to understand the facts and...

We are currently hiring Fresh Graduates (2023 to 2026 pass-outs) for an opportunity with a leading AI-driven US Healthcare Organization located at Navi Mumbai HIRING FRESHERS | 300+ OPENINGS | Navi Mumbai AI-Driven US Healthcare Organization Location: Navi Mumbai Eligibility: 2023–2026 Pass-outs | HSC / 10+2, Diploma & Graduates Preferred...

OverviewBTVK Advisory is a leading advisory firm whose specialized professionals guide clients through an ever-changing business world, helping them win now and anticipate tomorrow. BTVK Advisory, and its affiliated entities, have operations in North America, South America, Europe, Asia, and Australia. BTVK Advisory’s ultimate parent entity, Baker Tilly...

Job Description: Job Description: Kinaxis Solution Consultant / Author Position Overview We are seeking a skilled Kinaxis Consultant with 3 + years of hands-on experience, specializing in technical Authoring and Demand Planning. In this role, you will be responsible for configuring and enhancing the Kinaxis platform, with a primary focus on...

Description We have an opportunity to impact your career and provide an adventure where you can push the limits of what's possible.  As a Lead Software Engineer at JPMorgan Chase within the Commercial & Investment Bank, Securities Services Technology, you are an integral part of an agile team that works to enhance, build, and deliver trusted...