Medical Authorization IP

Posted 3 weeks ago

Roles and Responsibilities

  • Answer all incoming calls related to Inpatient authorizations following the Company guidelines and protocols. In case of call queues handle OP calls as well
  • Reviews case records and reports, collects and analyzes data, evaluates client’s medical status and defines needs and problems in order to provide proactive case management services
  • Handle incoming client/provider emails for ongoing/escalated IP cases
  • Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by various insurance policies

Qualification:

  1. Graduate – Medical Qualification (MBBS Doctor)
  2. Familiarity with medical terminologies
  3. Excellent command over English (both verbal and written)
  4. Strong Customer Service Skills
  5. Prior experience in Insurance industry preferably TPA

Apply Online

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