- 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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Pre-Auth Executive
1 month ago
Only for registered members Mumbai City+Responsible for managing prior authorizations and referrals, including verifying insurance eligibility, reviewing clinical data, and ensuring timely approvals. · + · Bachelor's degree (in any stream). · Minimum of two years experience in hospital billing/pre-authorization or ins ...
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Pre-Auth Executive
1 month ago
Only for registered members Andheri, Mumbai, MaharashtraResponsible for managing prior authorizations and referrals, including verifying insurance eligibility, reviewing clinical data, and ensuring timely approvals. · ...
- Only for registered members Navi Mumbai
Manage denial and obtain pre-auth for medical claims. · ...
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TPA Executive
1 month ago
Only for registered members Navi Mumbai, MaharashtraThis TPA Executive role involves handling various processes related to billing and coordination with TPA companies. · ...
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Senior Pre-Authorization Specialist
1 month ago
Only for registered members Ghansoli, Navi MumbaiThis is a full-time work from office role for a Pre-authorization Specialist. The candidate will verify patient insurance coverage and obtain pre-authorization for medical procedures. · Verify patient insurance coverage and obtain pre-authorization for medical procedures prior to ...
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Health Claim processing ll Mumbai
3 weeks ago
Only for registered members MumbaiThe Health Claim processing role involves processing pre-authorization/cashless claims, maintaining TAT for pre-auth/cashless claim and analyzing large amounts of data. · ...
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Lead QA Engineer
2 weeks ago
Only for registered members MumbaiLead QA for a data-intensive application spanning Web UI and backend services. · Lead a 3-6 member QA pod: planning, reviews, coaching, and release readiness. · ...
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Software Development Engineer in Test
1 month ago
Only for registered members Mumbai, MaharashtraFlexmoney's mission is to "Re-imagine Consumer Finance" for the mobile-first digital consumer. Our omni-channel digital affordability platform enables merchants, brands and other partners to seamlessly embed contextual affordability options across all customer touchpoints and sal ...
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Regulatory Affairs Manager
3 days ago
G&L Scientific MumbaiRegulatory Affairs Manager Job Description: · G&L Scientific has an immediate need for a Regulatory Affairs Manager to work with one of our clients. · Demonstrated experience in CMC (Chemistry, Manufacturing, and Controls) · for · vaccines or biologics · with a solid understandin ...
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Software Development Engineer in Test
1 month ago
Only for registered members Mumbai City+ Designar e implementar casos de prueba automatizados · + Colaborar con equipos interfuncionales para entender requisitos comerciales y técnicos · + Escribir casos de prueba manuales para nuevas características · ...
- Only for registered members Mumbai City
We are leveraging our domain expertise regulatory knowledge and technology experience to · architect innovative products and disrupt the Insurance value chain from Customer Acquisition · to Engagement. · ...
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Clerk (Billing / TPA)
1 month ago
Only for registered members Dadar, Mumbai, Maharashtra+ Clerk (Billing / TPA) · Attends enquiries about TPA/insurance company, gives patient relatives information. · + Counsels patient family and pre-auth process. · Sends pre-authorization form via mail/on portal to concern TPA. · Maintains/uploads patient's files on portal. · Couri ...
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Hospital IPD
2 weeks ago
Only for registered members Thane, MaharashtraThe Patient Admission Coordinator is responsible for coordinating patient admissions from initial contact through discharge. · Patient Admission · Create IPD file and UHID · Verify doctor admission orders · ...
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Billing & TPA Executive
2 weeks ago
Only for registered members Kalyan, MaharashtraHandle OPD/IPD billing as per hospital & insurance guidelines. · ...
Pre Auth - Navi Mumbai - confidential
Description
Roles and Responsibilities:
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Pre-Auth Executive
Only for registered members Mumbai City
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Pre-Auth Executive
Only for registered members Andheri, Mumbai, Maharashtra
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Prior authorization, prior auth, pre auth, denial management, rcm
Only for registered members Navi Mumbai
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TPA Executive
Only for registered members Navi Mumbai, Maharashtra
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Senior Pre-Authorization Specialist
Only for registered members Ghansoli, Navi Mumbai
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Health Claim processing ll Mumbai
Only for registered members Mumbai
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Lead QA Engineer
Only for registered members Mumbai
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Software Development Engineer in Test
Only for registered members Mumbai, Maharashtra
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Regulatory Affairs Manager
G&L Scientific- Mumbai
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Software Development Engineer in Test
Only for registered members Mumbai City
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Solution / Product Architect- Life & Health Claims
Only for registered members Mumbai City
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Clerk (Billing / TPA)
Only for registered members Dadar, Mumbai, Maharashtra
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Hospital IPD
Only for registered members Thane, Maharashtra
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Billing & TPA Executive
Only for registered members Kalyan, Maharashtra