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

Functional Area:
Total Positions:
6 Posts
Job Shift:
First Shift (Day)
Job Type:
Job Location:
No Preference
Minimum Education:
Career Level:
Entry Level
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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