Pre - Authorization

Role & responsibilities

FCC/MFS Billing is the first step in RCM cycle and plays a vital role to ensure accurate and timely receipt on information regarding insurance coverage.
Patients eligibility is determined and verified regarding health services.
Essential Duties and Responsibilities:
• Good analytical skills and proficiency with MS Word, Excel, and PowerPoint
• Verifying patient's coverage with payers and checking the eligibilities.
• Routinely follow ups with insurance providers
• Determine prior authorization requirements and follow up on submitted requests.
• Flexible to work in 24*7 environment.

Preferred candidate profile

Qualifications :

• Graduate in any discipline from a recognized educational institute.
• Good analytical skills and proficiency with MS Word, Excel, and PowerPoint.
• Good communication Skills (both written & verbal)

Skills :

• Candidate should have good healthcare knowledge.
• Candidate should have knowledge of Medicare and Medicaid.
• Ability to interact positively with team members, peer group and seniors