Job description
• Responsible for researching patient member benefits, additional coverages, coverage limitations, and general coverage allowances to obtain the necessary authorizations and referrals for patient services.
• Initiate and manage the prior authorization process for medical procedures, treatments, or medications.
• Prepare and submit prior authorization requests to insurance companies or healthcare payers according to established procedures.
• Ensure all required documentation, including clinical notes, medical history, and supporting documents, are complete and accurate.
• Processes prior authorizations and referral requests in a timely manner, prior to the patient's services being rendered.
Job Requirement:
• Bachelor's degree in any discipline.
• Min 1 year experience in Pre-Authorization & eligibility, benefits
• Strong knowledge of medical terminology, insurance policies, and healthcare reimbursement processes.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and collaboratively in a fast-paced, deadline-driven environment.
• eClinicalWorks experience will be an added advantage.
• Willing to work the night shift (any 9 hrs. between 6:30 pm 3:30 am)
• Salary: as per company policy
Job Type: Full-time
Pay: From ?22,000.00 per month
Benefits:
• Food provided
• Leave encashment
• Paid sick time
• Paid time off
• Provident Fund
Schedule:
• Fixed shift
• Monday to Friday
• Night shift
• US shift
Supplemental pay types:
• Overtime pay
• Shift allowance
• Yearly bonus
Ability to commute/relocate:
• Satellite, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Preferred)
Education:
• Bachelor's (Preferred)
Language:
• English (Preferred)
Shift availability:
• Night Shift (Preferred)
Work Location: In person
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