01Key Responsibilities
Process and manage prior authorization requests accurately and within timelines.
Verify patient eligibility, insurance coverage, and clinical documentation.
Coordinate with providers, payors, and patients to resolve queries.
Maintain detailed records of authorization requests in the system.
Ensure adherence to quality and compliance standards.
Skills Required:
Good understanding of US Healthcare RCM Prior Authorization process.
Solid communication and analytical skills.
Proficiency in MS Office and healthcare tools.
Regards,
Sofia HR,
8220184451 .