Prior Authorization Expert

18 hours ago


Lahore, Punjab, Pakistan beBee Careers Full time
Job Summary:
We are seeking an Insurance Claim Analyst to join our team and contribute to the efficient processing of patient billing information. As an experienced professional in medical billing and insurance claims, you will analyze trends in prior authorization denials, develop strategies to improve the prior authorization process, and maintain accurate records of all prior authorization requests and responses.

Position: Insurance Claim Analyst
Job Type: Full-Time (Night-Shift).
Location:.
Schedule: 6:00 pm to 3:00 am

Key Responsibilities:

- Verify patient insurance eligibility and coverage for specific services and procedures.
- Gather and organize necessary medical documentation to support prior authorization requests.
- Submit prior authorization requests electronically or through insurance portals.
- Follow up on pending authorizations and address any issues that arise.
- Analyze trends in prior authorization denials and identify opportunities for improvement.
- Develop and implement strategies to improve the prior authorization process.
- Liaise with healthcare providers, insurance companies, and other stakeholders as needed.

Requirements:

- Minimum 2 years of experience in a prior authorization or medical billing role.
- Excellent knowledge of medical terminology and billing codes.
- Strong understanding of healthcare insurance plans and prior authorization requirements.
- Proficient in Microsoft Office Suite and other relevant software.
- Excellent communication and interpersonal skills.
- Strong attention to detail and ability to prioritize tasks.
- Ability to work independently and as part of a team.
- Excellent problem-solving and analytical skills.
- Strong organizational and time management skills.
- Bachelor's degree in Healthcare Administration or related field (preferred).



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