Prior Authorization - ( Voice Process ) RCM

Job highlights

• Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology
• Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations

Job description

**Please Ignore if you have experience into NON VOICE**

Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process.

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