Prior Authorization Caller Us Healthcare

Roles and Responsibilities: ? Obtains prior-authorizations and referralsfrom 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. Skill Set Required: ? Any Graduate Full Time Degree is Mandatory (Any Stream) ? Minimum 1+ years' experience in Pre-Authorization (RCM). ? Should have Good Communication skills. ? Demonstrate excellent communication skills. ? Min. typing speed ? 25 wpm ? Familiar with Windows & software navigation (Provider).