RCM Associate

Pre Auth :

• Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.
• Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.
• Provides insurance companies with clinical information necessary to secure prior-authorization or referral.
• Good understanding of the medical terminology and progress notes.
• Obtains and / or reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries.
• Request retro-authorizations when needed.

Shift Timings : 5 : 30 PM to 2 : 30 AM / 6 : 30 PM to 3 : 30 AM

EVBV :

benefits of the patient.

eligibility identified.

benchmark score.

on the specific task / case assigned.

assistance is required to resolve them.

Shift Timings : 5 : 30 PM to 2 : 30 AM / 6 : 30 PM to 3 : 30 AM

Skills Required

Medical Terminology