Pre Auth - Navi Mumbai - confidential

    confidential
    confidential Navi Mumbai

    4 days ago

    Full time
    Description

    Roles and Responsibilities:

    • Manage the prior authorization process for healthcare services, ensuring timely approvals from insurance providers.
    • Review and verify patient information, insurance coverage, and clinical documentation.
    • Communicate effectively with healthcare providers, insurance companies, and patients to facilitate authorization requests.
    • Track and follow up on pending authorizations to avoid delays in patient care.
    • Maintain accurate records of authorization requests, approvals, denials, and appeals.
    • Ensure compliance with healthcare regulations and payer guidelines.
    • Provide regular updates and reports to healthcare teams and management.

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