Prior Authorization - RCM @ Omega Healthcare

Job Description

Job description

Role & responsibilities

Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.

Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.

Provides insurance company with clinical information necessary to secure prior-authorization or referral.

Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries.

Preferred candidate profile

Role Prerequisites:

• Minimum 1 year and above experience in Prior Authorization with  Surgery/Orthopedic Experience
• Good understanding of the medical terminology and progress notes

Any Graduate Full Time Degree is Mandatory (Any Stream)

Freshers or Minimum 1+ years' experience in Pre-Authorization (RCM).

Demonstrate excellent communication skills.

Min. typing speed 25 wpm

Familiar with Windows & software navigation (Provider)

Perks and benefits

Annual bonus

Quarterly Incentive Program

R & R Program

GPA And GMC

Interested candidates please Contact - HR Team - Ve*************h@Om*****s.com or 8762650***

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   Prior Auth Pre auth Prior Authorization Revenue Cycle Management AR Calling US Healthcare Denial Management Medical Billing RCM