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Authorization Executive

1 - 5 years

1 - 5 Lacs

Posted:3 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Roles and Responsibilities

  • Obtain prior authorizations from payers according to established guidelines.
  • Follow up on outstanding prior authorizations until approvals are received.
  • Ensure accurate coding of authorization requests and maintain records accordingly.
  • Collaborate with healthcare providers to resolve billing discrepancies related to prior authorizations.

Desired Candidate Profile

  • 1-5 years of experience in Prior Authorization, US Healthcare, RCM (Revenue Cycle Management), or similar roles.
  • Strong understanding of authorization processes and regulations.
  • Excellent communication skills for effective collaboration with healthcare providers and payers.
  • Ability to work independently with minimal supervision while meeting productivity targets.

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