Apprentice - Intake Preauthorization

enGen Global; Hyderabad; On-site; INR 300,000 - 420,000; Full time

Job summary

enGen Global is seeking an Intake Coordinator to review medical faxes, understand terminology, and determine fax type for authorization within the stated TAT.

Role involves building cases from fax docs, adhering to SLAs, and working in rotating US shifts, with time-bound deliverables and occasional overtime.

Qualifications

• 0–6 months US Healthcare experience with clinical orientation and claims, benefits, pre-authorization.
• Strong communication skills across listening, reading, speaking.
• Ability to work in rotating US shifts with variable week offs.

Responsibilities

• Build cases based on the documentation on the fax after thorough review and complete the case build within the TAT based on SLA.
• Ensure login timings are adhered to as the process is time-bound and the TAT is 4-6 hours.
• Ensure cases are built based on updated and current tip sheets following all essential rules.
• To ensure quality and productivity is met based on our SLAs.
• Flexible enough to meet overtime requirements and take responsibility to deliver all cases assigned.
• Other job responsibilities as assigned from time to time.
• Other additional duties as assigned or requested.

Skills

US Healthcare industry

Independent judgement

Critical thinking

Education

Bachelor or Master in Pharmacy

BSc/MSc in Nursing

Biotechnology

Microbiology

Radiology

Optometry

Speech and Hearing

Life sciences

BDS

BAMS

BUMS

BHMS

Clinically related areas

Job description

Job Summary

Role Summary: Intake Coordinator is responsible for reviewing the fax that we receive and understand the medical terminology on each page of the fax. Should be able to identify the type of fax and provide authorization within TAT.

Responsibilities

• Build cases based on the documentation on the fax after thorough review and complete the case build with in the TAT based on SLA.
• Ensure login timings are adhered to as the process is time-bound and the TAT is 4-6 hours.
• Ensure cases are built based on updated and current tip sheets following all essential rules.
• To ensure quality and productivity is met based on our SLAs.
• Flexible enough to meet overtime requirements and take responsibility to deliver all cases assigned.
• Other job responsibilities as assigned from time to time.
• Other additional duties as assigned or requested.

Requirements

• 0-6 months experience in US Healthcare with clinical orientation/experience claims, benefits, pre-authorization, Medical Coding, Enrollment with educational qualifications as given below.
• Good communication skills including listening, reading, and speaking with ability to communicate effectively.
• Analytical skills and clinical orientation with a service mentality to cater to the needs of patients waiting for treatment.
• Ability to work in rotational shifts with rotational week offs and different US shifts/night shifts continuously.
• Ability to thrive in an environment of change and fluctuating priorities.

Key Skills

• Knowledge on US Healthcare industry
• Ability to use independent judgement and critical thinking
• Any Clinical certification

Educational Qualification

• Bachelor or Masters in Pharmacy; BSc. or MSc. in Nursing, Microbiology, Biotechnology, Radiology, Optometry, Speech and Hearing, Life sciences, etc.
• BDS, BAMS, BUMS, BHMS
• Any other clinically related areas.