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Revenue Cycle Officer @ Aquity Solutions

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 Revenue Cycle Officer

Job Description

  1. Determine if a prior authorization/pre-certification is required for proposed medical services, procedures, medications, or admissions based on CPT/ICD codes and payer guidelines.
  2. Initiate, prepare, and submit authorization requests to insurance companies within required timelines.
  3. Gather and submit all necessary clinical documentation (e.g., medical necessity forms, clinical notes, test results, physician orders) to support authorization requests.
  4. Proactively follow up with payers on the status of pending authorizations to ensure timely approval.
  5. Document all authorization numbers, approval/denial reasons, and relevant communication in the patient record and billing system

Job Classification

Industry: Medical Services / Hospital
Functional Area / Department: Finance & Accounting
Role Category: Payroll & Transactions
Role: Billing Executive
Employement Type: Full time

Contact Details:

Company: Aquity Solutions
Location(s): Hyderabad

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Keyskills:   Billing Medical services Testing

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Aquity Solutions

Aquity Solutions India Private Limited is an outsourced clinical documentation solution for healthcare systems and practices overloaded by medical data entry and management tasks. Our medical transcriptionists, medical coders and virtual scribes accurately capture the complete patient story to help ...