Prior Authorization QCA Turning Checks into Confidence (Jobs - Full Time Jobs)

Item ID 3353683 in Category: Jobs - Full Time Jobs

Prior Authorization QCA Turning Checks into Confidence


Prior Authorization QCA Turning Checks into Confidence
Job Description
Your Contribution:
You will be directly responsible for auditing submitted prior authorization requests against established payer and client guidelines, ensuring 100% accuracy in patient demographics, procedure codes (CPT/HCPCS), and medical necessity documentation. Your expertise will be critical in:
Developing and utilizing QA checklists to track authorization process completeness.
Identifying systemic errors or training gaps within the Prior Authorization team.
Performing Root Cause Analysis (RCA) on any failed authorizations or subsequent denials.
Providing detailed, actionable feedback to team members to drive immediate improvement

Experience: 3 to 5 yrs
Salary: Based on Company Norms
Education: Any Basic Degree
Location: In And Around Chennai

Immediate Joiner Mostly Preferred
Interested Candidates Contact the HR ASAP
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com


Target State: Tamil Nadu
Target City : Chennai
Last Update : 09 October 2025 9:50 AM
Number of Views: 21
Item  Owner  : Maria
Contact Email:
Contact Phone: 8870833430

Friendly reminder: Click here to read some tips.
 © 2025 INNetAds.com
2025-10-21 (0.381 sec)