PHRN

Job Description

Responsibilities:

  • Provide support to the clinical team and client team.
  • Determine customer eligibility by reviewing contractual language and medical documentation.
  • Assess medical appropriateness of claims submitted, and adjust claims as needed.
  • Pay all covered claims accurately and timely.
  • Manage both new claims and open claims equally and maintains decision turnaround times.

Required Skills:

  • Active license
  • At least 6 months Hospital experience
  • 1 year prior authorization experience – negotiable: Healthcare experience
  • Handling payer side/ provider side/ handling scheduling or any inbound process
  • Good typing skills.
  • Scope of work inbound or outbound calls or pre-reg- patients that are scheduled outpatient imaging, update insurance, provide prep/ patient instructions.

Additional Notes:

  • This position will be working with world’s largest medical coding staff.
  • Working Set-up: Onsite.
  • Mondays to Fridays.
  • Complete details will provide by our Recruiters.
Max. file size: 128 MB.

Job Overview

Referral Reward Info

1,000  per job vacancy*
*The reward money will only be released to the referrer(s) whose candidate(s) will be selected for hiring.
Max. file size: 128 MB.