WE ARE HIRING!!! We have urgent openings in RCM (Revenue Cycle Management) Dept. Immediate joiners are most welcome and with at least 1 to 3 years of relevant experience. Candidates with good interpersonal skills are the most desirable. Objective: To obtain prior authorizations for all procedural orders by completing the authorization process with all commercial payers. Position: Pre-Authorization/AR Caller / Co-pay Assistant/Credentialing/EV-BV Location: Ahmedabad, India (office-based) Type of Work: Full-time, permanent Work Hours: Monday to Friday, Night Shift The role and responsibilities: The Pre-Authorization Coordinator is responsible for obtaining and coordinating all pre-authorization or precertification per payer requirements requested by the medical providers. The information obtained by insurance companies and/or third-party representatives for services requested is documented in appropriate systems or software to ensure proper communication and coordination. ● Determine the patient's eligibility for insurance benefits before medical treatments and tests. ● Secure necessary pre-authorizations. ● Confirm the accuracy of CPT and ICD-10 diagnoses 4 ● Review chart documentation to ensure patient meets medical policy guidelines ● Verify coverage and communicate with medical facilities to resolve any discrepancies. ● Maintain logs of denied claims and problem-solving cases as needed. ● Follow-up on missing or inaccurate information and coordination with clinical staff and physicians. ● Prioritize incoming authorization requests according to the urgency ● Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations ●Requirements: ● Must have sound knowledge of claims, and ICD-10 and CPT codes ● Knowledge of procedure authorization and its impact on the revenue cycle ● Good understanding of payer medical policy guidelines ● Conflict resolution ● Strong written and verbal communication skills. To apply to the above job posts, you may write an email to CV career@billingimbs.com or call 079-46035563 / 8320127619 Hemali Lashkari #jobhunting #jobalert #hiring #medicalbilling #jobvacancy #hr #executive #healthcare #healthcarerecruitment #healthinsurance #ahmedabadjobs #experience #ahmedabadhiring #jobseeksers #applynow #hiring2024 #jobsearch #jobalert #hiringnow #communication #careergrowthgoals #placements #recruitment #hiring #resume #careers #healthcare #recruitment #compliance #sourcing #ukhealthcare #ahmedabadjobs #jobsearch #booking #compliance #5daysworking #workfromoffice #sharecv #sharepost
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