Qureos Mentor

Vizza Fintech Private Limited

Job Summary:The Pre-Authorization Executive is responsible for handling insurance-related processes for patients admitted under health insurance coverage. The role involves coordinating with doctors, patients, and Third-Party Administrators (TPAs) to obtain pre-authorization approvals for planned or emergency treatments, ensuring smooth patient admission and claim settlement.Key Responsibilities:<ul><li>Verify patient insurance details and eligibility before admission.</li><li>Prepare and submit pre-authorization forms and required medical documents to the respective TPA/insurance company.</li><li>Coordinate with treating doctors to gather diagnosis, treatment plan, and cost estimates.</li><li>Follow up with insurance companies/TPAs for timely approval of pre-authorization requests.</li><li>Update approval status in the hospital management system and inform the billing/admission desk.</li><li>Handle queries related to pre-authorization approvals or denials.</li><li>Maintain accurate records of all submitted and approved claims.</li><li>Coordinate with the billing team for final claim submission post-discharge.</li><li>Ensure compliance with hospital and TPA protocols.</li></ul>Required Skills:<ul><li>Good communication and coordination skills.</li><li>Knowledge of health insurance policies and TPA procedures.</li><li>Basic understanding of hospital billing and claim documentation.</li><li>Proficiency in MS Office and hospital management software.</li></ul>Qualification:<ul><li>Any graduate.</li></ul>Job Type: Full-timePay: From &#8377;17,507.55 per monthBenefits:<ul><li>Cell phone reimbursement</li><li>Internet reimbursement</li><li>Provident Fund</li></ul>

Pre Authorization - Hospital Claims

Join Vizza Fintech Private Limited and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Vizza Fintech Private Limited

ABOUT_COMPANY

Pre Authorization - Hospital Claims