Hiring For Prior Authorization

Job description

Role & responsibilities

• Excellent Knowledge in Denials
• Can perform HIPAA compliant auto and manual posting requirements
• Executes daily payment posting batch reconciliation
• Understanding of posting offsets, forward balance, and refund processing / posting
• Familiar with denial and remarks codes to perform posting and assignment of AR appropriately
• Familiar with secondary billing process while perform cash posting
• Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits
• Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices
• Good verbal and written communication and presentation skills
• Ability to execute and accomplish tasks consistently within deadlines
• Basic knowledge of MS Office
• Experience working on imagine systems and Advanced MD would be an added advantage

Candidate Requirements:

• Willingness to work in US shifts
• Minimum 1 year experience in Medical RCM {Revenue Cycle Management}
• Candidate should have good knowledge of denials

Share your CV

Fatima Tamboli / 8956252023/ fatima.tamboli@in.credencerm.com

Kalim Khan/9881208270/ kalim.khan@in.credencerm.com