Walk-in | Authorization

Omega Healthcare; Karnataka; On-site; INR 200,000 - 320,000; Full time

Job summary

Omega Healthcare seeks a role focused on managing patient insurance authorizations and related processes. The candidate will verify eligibility, obtain authorizations, and coordinate with providers to ensure timely, compliant care delivery.

Responsibilities include following up on pending requests, reviewing denials for resubmission, maintaining precise records, and communicating outcomes to stakeholders, all while meeting productivity and quality targets and upholding HIPAA guidelines.

Responsibilities

• Verify patient insurance eligibility and benefits before services are rendered.
• Obtain prior authorizations and pre-certifications from insurance companies.
• Follow up with insurance payers on pending authorization requests.
• Review authorization denials and take corrective actions for resubmission.
• Coordinate with providers, clinics, and internal teams to collect required clinical documents.
• Maintain accurate records of authorization status and updates in the system.
• Ensure all authorizations are obtained within payer-specific timelines.
• Communicate authorization approvals, denials, and requirements to stakeholders.
• Meet productivity and quality targets as defined by the organization.
• Adhere to HIPAA and healthcare compliance guidelines.

Job description

Role & responsibilities

• Verify patient insurance eligibility and benefits before services are rendered.
• Obtain prior authorizations and pre-certifications from insurance companies.
• Follow up with insurance payers on pending authorization requests.
• Review authorization denials and take corrective actions for resubmission.
• Coordinate with providers, clinics, and internal teams to collect required clinical documents.
• Maintain accurate records of authorization status and updates in the system.
• Ensure all authorizations are obtained within payer-specific timelines.
• Communicate authorization approvals, denials, and requirements to stakeholders.
• Meet productivity and quality targets as defined by the organization.
• Adhere to HIPAA and healthcare compliance guidelines.