L2- RCM Associate - Prior Authorization Jobs Opening in Wonder Worth Solutions at Vellore
Job Description
Job Summary:
We are seeking a skilled L2- RCM Associate - Prior Authorization with experience in prior authorization to join our team. The ideal candidate will be responsible for managing the prior authorization process, ensuring timely and accurate approvals for medical services and procedures.
Key Responsibilities:
Prior Authorization: Manage and process prior authorization requests for medical services and procedures, ensuring all necessary documentation is submitted accurately and promptly.
Verification: Verify insurance benefits and coverage requirements to determine the need for prior authorization and ensure compliance with payer guidelines.
Communication: Communicate with healthcare providers, insurance companies, and patients to obtain necessary information, follow up on authorization status, and resolve any issues.
Documentation: Maintain detailed records of all prior authorization requests, approvals, and denials, ensuring compliance with internal policies and payer requirements.
Follow-Up: Monitor and track the status of authorization requests, addressing any delays or issues to expedite approvals.
Compliance: Ensure adherence to relevant regulations, payer guidelines, and company policies regarding prior authorization processes.
Reporting: Generate and review reports related to prior authorization activities, identifying trends and areas for improvement.
Should have 2 years of experience in medical billing, preferably in the prior authorization.
Anatomy Physiology & Medical Terminology.
Excellent ability to read and interpret comprehensive documents.
Minor ability to research and demonstrate patience.
Formal compliance.
Exhaustive reading skills for thorough review of authorization requests and related documentation.
More information about this L2- RCM Associate - Prior Authorization Job
Please go through the below FAQs to get all answers related to the given L2- RCM Associate - Prior Authorization job
- What are the job requirements to apply for this L2- RCM Associate - Prior Authorization job position?
- Ans: A candidate must have a minimum of 2 to 3+ year experience as an L2- RCM Associate - Prior Authorization
- What is the qualification for this job?
- Ans: The candidate can be a Graduate from any of the following: B.Com, BSc
- What is the hiring Process of this job?
- Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.
- This L2- RCM Associate - Prior Authorization is a work from home job?
- Ans: No ,its not a Work from Home Job.
- How many job vacancies are opening for the L2- RCM Associate - Prior Authorization position?
- Ans: There are immediate 1 job openings for L2- RCM Associate - Prior Authorization in our Organisation.
Job Particulars
About Company
Vellore 
2 to 3+ Years 
Salary not disclosed 
B.Com, BA, BBA/BBM, BSc 
