Prior AUTH Executive - Voice Process

Job description

Hiring multiple positions - Prior Auth Executive/Voice Process for medical billing in US health Care Domain.

EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE

Position 1: Prior Authorization Executive- Voice Process.

• Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation.
• Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures
• Get prior authorization approval from insurance firms and nurse managers
• Appeal insurance companies after prior authorization refusals.
• Get prior authorization approval from insurance firms and nurse managers.
• Document account activity using correct medical and billing codes.
• At least 1 year of experience in obtaining prior authorization.
• Interact with the insurance rep to follow-up on appealed authorizations.
• Calling Insurances on claims resolutions and handling the denials for a closure

Qualifications:

• Excellent verbal and written communication skills
• Good analytical & resolution skills preferred.
• Candidate should be willing to work in Night shift / Eastern Time Zone
• Strong reporting skills
• Should have worked on appeals, refiling and denial management.
• Meet Quality and productivity standards.

Interested candidates can share your updated resume with below details to

hr@finchhealthcare.com

Resume

Total Years of Experience :

Current Salary -

Expected Salary -

Notice Period -