Prior Authorization (Verification of Benefits)
- Category: Office Assistant Jobs
- Location: Pune, Maharashtra
- Job Type: Full Time / Part Time
- Salary: Estimated: $ 20K to 27K
- Published on: 2025/10/03
काम का वर्णन
Interested applicants please share your updated copy of resume to me at ruchipatel@northcorp.tech
Profile Overview:
• Graduate with 1-3 years’ Benefit and Authorization Specialist (Verification of Benefits).
• Role focuses on obtaining necessary prior authorizations & Referrals from insurance companies.
• Maintain accurate records of requests and approvals.
• Familiarity with insurance processes and payer guidelines.
Key Responsibilities:
• Manage correspondence with insurance companies, physicians, specialist, and patients as
needed, including documenting in the EHR as appropriate.
• Receive requests for prior authorizations through the electronic health record (EHR) and/or via
phone or fax and ensure that they are properly and closely monitored.
• Completes accurate and timely third party payer authorization requests, including ensuring all
necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are
available.
• Ensures services scheduled by outside providers have approved authorization as required by
payer and procedure prior to service.
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