Prior authorization analyst
MohaliNath Outsourcing Solutions Private Limited
...medical necessity criteria, and pre-certification rules. Payer Portal Utilization: Access and navigate payer portals (Medicare, UHC, BCBS, Availity, Trizetto, etc.) to submit and track prior authorization requests. Compliance: Ensure all authorizations are obtained in compliance with payer regulations and organizational [...]
Category Banking, Insurance, Finance & Accountancy