Authorization through Calling


· Authorization through Fax


· Authorization through Portal


· Authorization against Refills (Received from Billing Department)


· Clinicals sent through Fax and Portal (Availity & United Health Care website)


· Calling Doctor's Office (Just in case)


· Verifying Chart Notes


· Verifying Doctor's Orders


· Verifying Eligibility (Through Portal & On call)


· Follow up against Pending Authorizations


· Sending Appeal against Denied or Rejected Authorization


For Braces performing mentioned steps before Initiating the Prior Authorization)


· Verifying Patient Zip code through DME COMPETITIVE BID Website


· Verifying CPT through DME COMPETITIVE BID Website


· Verifying Charge Amount through Palmetto GBA Website.


· Calculating the No of Units according to Patient's DO.

Job Details

Industry:
Functional Area:
Total Positions:
6 Posts
Job Shift:
First Shift (Day)
Job Type:
Job Location:
Gender:
No Preference
Minimum Education:
Bachelors
Career Level:
Entry Level
Experience:
Less than 1 Year - 1 Year
Apply Before:
Oct 03, 2022
Posting Date:
Sep 03, 2022

Medatron Pvt.Ltd

Services · 101-200 employees - Lahore

Pharmaceutical company

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