Prior Authorization - RCM

Job description

Role & responsibilities

Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.

Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.

Provides insurance company with clinical information necessary to secure prior-authorization or referral.

Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries.

Preferred candidate profile

Role Prerequisites:

• Minimum 1 year and above experience in Prior Authorization with  Surgery/Orthopedic Experience
• Good understanding of the medical terminology and progress notes

Any Graduate Full Time Degree is Mandatory (Any Stream)

Freshers or Minimum 1+ years' experience in Pre-Authorization (RCM).

Demonstrate excellent communication skills.

Min. typing speed 25 wpm

Familiar with Windows & software navigation (Provider)

Perks and benefits

Annual bonus

Quarterly Incentive Program

R & R Program

GPA And GMC

Interested candidates please Contact - HR Team - Venkatesh.ramesh@Omegahms.com or 8762650131