Posted: 1 week ago
Posted: 1 week ago
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Job Description
Key Responsibilities:
- Process, monitor, and resolve prior authorization requests.
- Review clinical documentation to ensure compliance with payer requirements and medical necessity criteria.
- Collaborate with insurance providers to ensure timely approvals, escalate issues, and appeal denials when necessary.
- Maintain accurate records of all authorization activities, including submissions, approvals, denials, and appeals.
*ONLY MALE CANDIDATES*
- Contact details- HR Gauri
- Mail id- gauri.matte@sumasoft.com
- Contact no - 9371965179
Skills
RevenueRevenue Cycle ManagementCallingBlended ProcessSemi VoiceUS HealthcareSEMVoiceIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
About Company
Suma Soft has been a Global IT and ITES BPO Solutions provider for USA, India and global market with successful legacy of 19+ years. We have gained patronage of giants from various industries across the world with the high-end industry-specific, technology and analytics-enabled solutions. We have been providing IT infrastructure services in combination with innovative practices and ability to engage with new business models. Adding values to businesses with a stark growth in profitability is our aim.
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