The Prior Authorization Specialist is responsible for identifying third party payer requirements and obtaining the necessary authorizations for care, including verifying eligibility, obtaining insurance benefits, and ensuring that pre-certification, prior authorization, and referral requirements are met prior to the delivery of patient care. The position is also responsible for medication prior authorization to support prescribing of medications.The Prior Authorization Specialist provides detailed and timely communication to both payers and providers in order to facilitate compliance with payer contractual requirements and timely delivery of patient care.
Specific Responsibilities of the Job:
HQ Analytics is the leading provider of HealthCare Management services to the Solo Practitioners, Group practices, Hospitals and other Healthcare services Providers. We provide IT services, Software Development services, Accounting services, HRM services, Customer Support services and majorly Medical Billing services in USA. Our Head Office is in New York whereas back office is in Lahore, Pakistan.