Team Lead-Authorization

Company Description

CrystalVoxx Global LLP provides Medical Billing and Medical Coding Services to healthcare professionals including solo practices, groups, nursing homes, hospitals, and ambulatory care centers. Our company is dedicated to delivering efficient and accurate billing and coding solutions to our clients. We strive to offer the most reliable services to ensure healthcare providers focus on patient care while we handle their billing and coding needs.

Role Description

This is a full-time on-site role for a Team Lead-Authorization, located in Ahmedabad. The Team Lead-Authorization will be responsible for overseeing and coordinating the authorization team's workflow and activities. Tasks include managing the daily operations, ensuring timely and accurate processing of authorizations, training and mentoring team members, monitoring team performance, and liaising with clients and healthcare providers. The role requires you to manage and escalate issues as needed, and to ensure compliance with regulatory requirements and company policies.

Qualifications

• Authorization Processing :
• Review and process prior authorization requests received from healthcare providers.
• Verify that all required documentation and information are complete and accurate.
• Prepare and submit authorization requests to insurance companies on time. Communication :
• Interact with healthcare providers insurance companies, and patients to gather necessary information and resolve authorization-related issues.
• Communicate authorization status, requirements, and updates to relevant stakeholders.
• Respond to inquiries and guide the authorization process.
• Communicate with the client via email and phone call (do weekly meetings as well) Policy and Regulation Compliance :
• Stay informed about insurance policies, guidelines, and regulatory changes.
• Ensure strict adherence to all relevant compliance standards, including HIPAA and other privacy regulations. Documentation and Recordkeeping :
• Maintain detailed records of all authorization requests, approvals, and denials.
• Update patient records and billing systems with authorization information.
• Generate reports and documentation as needed for internal and external purposes. Quality Assurance :
• Conduct thorough reviews of authorization requests to minimize errors and discrepancies.
• Collaborate with team members to identify and resolve issues related to denied authorizations.
• Continuously seek opportunities to improve authorization processes. Team Collaboration :
• Work closely with other members of the prior authorization team to ensure efficient workflow and knowledge sharing.
• Assist team members as needed to meet departmental goals and deadlines.

Skills Required

Quality Assurance