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.
- Ensure adherence to insurance guidelines and HIPAA regulations.
- Inform and assist patients with the prior authorization process.
- Generate and analyze reports on authorization requests.
- Work with billing, coding staff, and healthcare providers to streamline processes.
- Identify and implement improvements in the prior authorization workflow.
Qualifications:
- Exp : 1 – 2yrs
- Immediate Joiners
- WFO only
- Open to Night shif