Prior Authorization Executive Quanteon Solutions
Quanteon Solutions
Office Location
Full Time
Experience: 1 - 1 years required
Pay:
Salary Information not included
Type: Full Time
Location: Karnataka
Skills: Appeals, denial management, Verifies insurance eligibility, Review, process preauthorization requests, Appeal insurance companies, Document account activity, Interact with insurance rep, Calling Insurances on claims resolutions, Handling Denials, Excellent verbal, written communication skills, Good analytical resolution skills, Strong reporting skills, refiling
About Quanteon Solutions
Job Description
Job description Role - Prior Authorization Executive- Voice Process. Exp - 1-2 Yrs Location - Mysore Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patient's cost estimation calculation. Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures Get prior authorization approval from insurance firms and nurse managers Appeal insurance companies after prior authorization refusals. Get prior authorization approval from insurance firms and nurse managers. Document account activity using correct medical and billing codes. At least 1 year of experience in obtaining prior authorization. Interact with the insurance rep to follow-up on appealed authorizations. Calling Insurances on claims resolutions and handling the denials for a closure Qualifications: Excellent verbal and written communication skills Good analytical & resolution skills preferred. Candidate should be willing to work in Night shift / Eastern Time Zone Strong reporting skills Should have worked on appeals, refiling and denial management. Meet Quality and productivity standards. Industry IT Services and IT Consulting Employment Type Full-time,