Full Description
QA Executive Prior Authorization in Medical Billing
Job Description
Focus Skills:
Medical revenue cycle management (RCM) requires impeccable quality and audit-readiness at every level in the future. By making sure that every permission obtained is completely accurate, documented, and compliant, Prior Authorisation (PA) QA is becoming an increasingly important governance function that helps to prevent downstream denials and ensure maximum reimbursement.
Desired Outcomes:
You will be in charge of carrying out comprehensive quality audits on completed prior authorisation requests, which will involve looking at the final approval status, payer-specific requirements, verification
calls, and supporting documents. It will be essential that you are knowledgeable about common PA submission errors, insurance verification, medical language, and compliance rules. In order to directly contribute to mistake reduction, increased first-pass yield, and improved team performance, you will offer helpful criticism, pinpoint systemic training needs, and assist in improving our standard operating procedures (SOPs).
Experience: 4 to 6 yrs
Salary: Based on Company Norms
Education: Any Basic Degree
Location: In And Around Chennai
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com