Authorization Specialist

Job Description for Authorization Executive

Location: Ahmedabad, India

Time: 5:30 PM to 2:30 AM

Experience: 10 months +

Education – Any Graduate

Position Goal: The Prior Authorization Executive will be responsible for processing and obtaining prior authorizations from insurance providers to ensure patients receive necessary medical services and treatments. He/ she is supposed to work in a team, play a critical role in navigating the complex world of insurance authorization processes, and report to the team lead.

Responsibilities:

 Review and process prior authorization requests received from healthcare provides.

 Verify all required documents and information from healthcare providers.

 Prepare and submit authorization requests to insurance companies on time.

 Interact with healthcare providers insurance companies and patients to gather necessary information and resolve authorization related issues.

 Respond to inquiries and guide the authorization process.

 Stay informed about insurance policies, guidelines and regulatory changes.

 Ensure strict adherence to all relevant compliance standards, including HIPPAA and other privacy regulations.

 Maintain detailed records of all authorization requests, approvals and denials

 Update patient records and billing systems with authorization information.

 Generate reports and documentation as needed for internal and external purposes.

 Conduct thorough reviews of authorization requests to minimize errors and discrepancies.

 Continuously seek opportunities to improve authorization processes.

Share your updated CV at 75670 60888 / glory.m@crystalvoxx.com

Job Types: Full-time, Permanent

Pay: ₹13,727.17 - ₹37,005.23 per month

Schedule:

• Day shift

Work Location: In person