Prior AUTH Executive - Voice Process

Job Description

Job description Hiring multiple positions - Prior Auth Executive/Voice Process for medical billing in US health Care Domain. EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE Position 1: Prior Authorization Executive- Voice Process. Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients 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. Interested candidates can share your updated resume with below details to hr@finchhealthcare.com Resume Total Years of Experience : Current Salary - Expected Salary - Notice Period -