Pre-Auth Officer

1.00 to 3.00 Years Pune 31 May, 2023

Job Location	Pune
Education	Not Mentioned
Salary	Not Disclosed
Industry	IT - Software
Functional Area	General / Other Software
EmploymentType	Full-time

Job Description

Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures.
Communicate with healthcare providers to obtain additional information or clarification as needed to process pre-authorization requests.
Verify patient eligibility and benefits for requested services and procedures.
Work with insurance companies to ensure that pre-authorization requirements are met and that claims are processed efficiently and accurately.
Maintain accurate and detailed records of all pre-authorization requests and outcomes.
Monitor and track pre-authorization requests to ensure that they are processed in a timely and efficient manner.
Provide support to healthcare providers and patients regarding pre-authorization requirements and processes.
Participate in quality improvement activities to enhance the pre-authorization process and ensure that it is aligned with industry standards.
Stay up-to-date with changes in pre-authorization requirements and industry trends.
Perform other duties as assigned.

Keyskills :
quality improvementmonitoring

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Pre-Auth Officer

Job Description

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