Coordinates with clinicians and/or other clinical staff for gathering information/documentation for submission.
Liaises with Insurance Companies/TPAs for submitting, resubmitting, and replying queries raised by Insurance Companies/TPAs efficiently.
Knowledge in pronouncing and understanding medical terminologies.
Demonstrate strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.
Manage and track approval/denials/queries and inform clinicians and patients about the requested service(s) status.
Prepares cost estimation accurately for approvals as per the agreed terms.
To maintain an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.
Practices professional telephone etiquette both internal and external stake holders while making claim inquires and quickly resolving any patient complaints and concerns.
Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.
Knowledge and ability to adopt/utilize computer-based applications and Microsoft Office.
Maintains strict confidentiality related to medical records and other data.
Procuring, Validating, and sending all the required information and documents while requesting preapproval from insurance companies through email, fax or online portals.

Bachelor’s degree from an accredited college / university. Coding and claims processing skills will be preferred.
Experience Minimum 5 years’ experience in a similar environment and similar role.

Coordinates with clinicians and/or other clinical staff for gathering information/documentation for submission.
Liaises with Insurance Companies/TPAs for submitting, resubmitting, and replying queries raised by Insurance Companies/TPAs efficiently.
Knowledge in pronouncing and understanding medical terminologies.
Demonstrate strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.
Manage and track approval/denials/queries and inform clinicians and patients about the requested service(s) status.
Prepares cost estimation accurately for approvals as per the agreed terms.
To maintain an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.
Practices professional telephone etiquette both internal and external stake holders while making claim inquires and quickly resolving any patient complaints and concerns.
Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.
Knowledge and ability to adopt/utilize computer-based applications and Microsoft Office.
Maintains strict confidentiality related to medical records and other data.
Procuring, Validating, and sending all the required information and documents while requesting preapproval from insurance companies through email, fax or online portals.

Bachelor’s degree from an accredited college / university. Coding and claims processing skills will be preferred.
Experience Minimum 5 years’ experience in a similar environment and similar role.