Prior Authorization QCA Turning Checks into Confidence in Chennai, Tamil Nadu

Rs 30,000.00 Per Month
Chennai, Tamil NaduCONTACT
  • 10/09/2025
  • -

Prior Authorization QCA Turning Checks into Confidence
Job Description
Your Contribution:
You will be directly responsible for auditing submitted prior authorization requests against established payer and client guidelines, ensuring 100% accuracy in patient demographics, procedure codes (CPT/HCPCS), and medical necessity documentation. Your expertise will be critical in:
Developing and utilizing QA checklists to track authorization process completeness.
Identifying sy...

  • Education:Some College or University
  • Type Of Work:Full Time
  • Type Of Shift:Days
  • Transportation:Not applicable
  • Experience:3-4 years

Full Description

Prior Authorization QCA Turning Checks into Confidence
Job Description
Your Contribution:
You will be directly responsible for auditing submitted prior authorization requests against established payer and client guidelines, ensuring 100% accuracy in patient demographics, procedure codes (CPT/HCPCS), and medical necessity documentation. Your expertise will be critical in:
Developing and utilizing QA checklists to track authorization process completeness.
Identifying systemic errors or training

gaps within the Prior Authorization team.
Performing Root Cause Analysis (RCA) on any failed authorizations or subsequent denials.
Providing detailed, actionable feedback to team members to drive immediate improvement

Experience: 3 to 5 yrs
Salary: Based on Company Norms
Education: Any Basic Degree
Location: In And Around Chennai

Immediate Joiner Mostly Preferred
Interested Candidates Contact the HR ASAP
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com

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