Immediate Hiring - Team Lead (Prior Authorization) - US Healthcare |

Key Responsibilities

• Supervise, mentor, and guide a team of prior authorization associates to achieve individual and team goals.
• Review and allocate daily workloads, ensuring timely submission of prior authorization requests.
• Monitor team performance, productivity, and accuracy in handling authorization requests.
• Handle escalations, complex cases, and provide solutions to ensure timely approvals.
• Coordinate with physicians, clinical staff, patients, and insurance carriers to resolve pending authorization issues.
• Stay updated on payer policies, guidelines, and prior authorization requirements.
• Track and analyze metrics such as turnaround time (TAT), approval rate, and denial rate, and prepare performance reports for management.
• Ensure compliance with HIPAA regulations and client-specific requirements.
• Conduct regular team huddles, training, and performance reviews to maintain operational excellence.
• Identify process gaps and work on continuous improvement initiatives.

Required Skills & Competencies

• In-depth knowledge of

  US healthcare payer guidelines

  and

  prior authorization processes

  .
• Strong leadership and people management skills with experience in team handling.
• Excellent communication (verbal & written) and interpersonal skills.
• Ability to resolve escalations and manage high-volume requests with accuracy.
• Strong organizational, analytical, and problem-solving skills.
• Proficiency in MS Office and prior authorization/RCM software tools.

Qualifications & Experience

• Graduate in any discipline (preferred: Healthcare, Life Sciences, or Business Management).

• 57 years of experience

  in prior authorization within US healthcare, with at least

  2+ years in a leadership/supervisory role.

• Hands-on experience in payer guidelines, clinical documentation review, and PA submission processes.

Kindly share your resume to hr@oncospark.com | Contact - Sangeeth HR - 7824834817.