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6 MedConverge Healthcare Services Jobs

Associate Eligibility and Authorization

1-2 years

₹ 2.2 - 2.75L/yr (AmbitionBox estimate)

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This is an estimate of the average salary range for this position. It has not been reviewed by the company, and the actual salary may differ.

Hyderabad / Secunderabad

1 vacancy

Associate Eligibility and Authorization

MedConverge Healthcare Services

posted 4mon ago

Job Role Insights

Flexible timing

Job Description

We are seeking a detail-oriented and highly motivated Associate with eligibility and Authorization to join our team. This role involves verifying patient eligibility and obtaining prior authorizations for medical procedures and services. The ideal candidate will have a strong understanding of healthcare insurance plans and be proficient in using various healthcare software systems.
 
Responsibilities
  • Verify patient eligibility and benefits with insurance carriers.
  • Determine coverage levels, deductibles, and co-payments.
  • Identify and resolve eligibility issues promptly.
  • Obtain prior authorizations for medical procedures and services.
  • Prepare and submit accurate and timely prior authorization requests.
  • Follow up on pending authorization requests and resolve denials.
  • Accurately enter patient information, insurance details, and authorization information into the system.
  • Maintain accurate and up-to-date patient records.
  • Effectively communicate with patients, healthcare providers, and insurance carriers.
  • Address inquiries and concerns in a timely and professional manner.
  • Adhere to all HIPAA regulations and company policies and procedures.
  • Stay updated on industry regulations and guidelines.
Skills/Experience
  • 1-2 years of experience in healthcare insurance or a related field.
  • Strong understanding of healthcare insurance plans, including Medicare, Medicaid, and commercial insurance.
  • Proficiency in Microsoft Office Suite, especially Excel.
  • Excellent communication and interpersonal skills.
  • Strong attention to detail and accuracy.
  • Ability to work independently and as part of a team.
  • Willingness to work night shifts and from the office.

Employment Type: Full Time, Permanent

Read full job description

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What people at MedConverge Healthcare Services are saying

2.0
 Rating based on 1 Associate review

Likes

Previously I used to like but not now

Dislikes

Worst management..HR department is not supportive

  • Salary - Poor
  • +6 more
Read 1 Associate review

Associate salary at MedConverge Healthcare Services

reported by 4 employees with 1-2 years exp.
₹2.2 L/yr - ₹2.8 L/yr
66% less than the average Associate Salary in India
View more details

What MedConverge Healthcare Services employees are saying about work life

based on 28 employees
67%
100%
76%
67%
Flexible timing
Monday to Friday
No travel
Day Shift
View more insights

MedConverge Healthcare Services Benefits

Work From Home
Job Training
Education Assistance
Health Insurance
Cafeteria
Team Outings +6 more
View more benefits

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