Prior Authorization Callers

AaNine Healthcare; Chennai; On-site; INR 279,000 - 446,000; Full time

Job summary

AaNine Healthcare in Chennai, India is seeking a dedicated Prior Authorization Assistant to streamline the authorization workflow and collaboration among providers, insurers, and patients.

You will submit requests, verify coverage, liaise with stakeholders, and resolve denials while ensuring HIPAA compliance and accurate record-keeping.

Responsibilities

• Submit prior authorization requests with all necessary documentation.
• Verify patient insurance coverage and benefits.
• Collect and maintain accurate medical records and documents.
• Liaise with healthcare providers, insurance companies, and patients.
• Address and resolve prior authorization denials, including appeals.
• Ensure adherence to insurance guidelines and HIPAA regulations.
• Inform and assist patients with the prior authorization process.
• Generate and analyze reports on authorization requests.
• Work with billing, coding staff, and healthcare providers to streamline processes.
• Identify and implement improvements in the prior authorization workflow.

Job description

• Submit prior authorization requests with all necessary documentation.
• Verify patient insurance coverage and benefits.
• Collect and maintain accurate medical records and documents.
• Liaise with healthcare providers, insurance companies, and patients.
• Address and resolve prior authorization denials, including appeals.
• Ensure adherence to insurance guidelines and HIPAA regulations.
• Inform and assist patients with the prior authorization process.
• Generate and analyze reports on authorization requests.
• Work with billing, coding staff, and healthcare providers to streamline processes.
• Identify and implement improvements in the prior authorization workflow.