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