RCM_Associate (Pre-Authorization Specialist)
TRIARQ Health
- Navi Mumbai, Maharashtra
- Permanent
- Full-time
Location: Navi Mumbai (Ghansoli)
Division: Revenue Cycle Management (RCM)Job Responsibilities: This is a full-time work from office role for a Pre-authorization Specialist. The Pre-authorization Specialist will be responsible for verifying patient insurance coverage, obtaining pre-authorization for medical procedures prior to services being rendered utilizing online websites, tools, or via phone calls. The Pre-authorization Specialist will communicate with insurance companies and healthcare providers to resolve any issues or discrepancies in claims.The Pre-authorization Specialist needs to be able to review and understand Provider Medical Records. The Pre-authorization Specialist needs to be able to submit Appeals for denied claims and ensure all accurate and pertinent information is provided to the Payer in a timely manner.Skills Required:• Minimum 1 year experience in the Pre-Auth department.
- Experience with medical billing and insurance verification and authorization processes.
- Strong communication and interpersonal skills to interact with insurance companies.
- Attention to detail and ability to accurately process and manage data.
- Ability to work in a fast-paced environment and meet deadlines.
- Good understanding of medical terminology.
- Good understanding of Payer guidelines.
Employment Type: Full Time, Permanent. Night shift.Perks and benefits: Home Drop Facility, Free Dinner Facility, 5 days working (Monday to Friday),
Performance based incentives.Responsibilities:
Eligibilities: