Prior Authorization Specialist (Procedures) About Us At NextDimension AI, our mission is to simplify healthcare. We are a technology company building the next generation of AI-powered systems to automate complex workflows and create a more responsive, patient-centric experience. We have bold ambitions to reimagine healthcare, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans the Front Office, Clinical Operations, and Revenue Cycle Management. Website: www.nextdim.io Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare. Role Description As a Prior Authorization Specialist for Procedures, you will be a crucial link between our patients, our clinical team, and insurance carriers. Your primary responsibility will be to secure financial clearance for all office-based and hospital-based gastroenterology procedures, such as endoscopies, colonoscopies, and capsule endoscopies. You will manage a high volume of authorization requests, meticulously track their status, and ensure all necessary approvals are in place before the patient's scheduled service. Key Responsibilities: Verify patient insurance eligibility and benefits for all scheduled GI procedures. Initiate, submit, and diligently follow up on prior authorization requests through insurance portals, phone, and fax. Gather and attach required clinical documentation (physician notes, lab results, imaging reports) to justify medical necessity. Communicate effectively with physicians, nurses, and scheduling staff regarding the status of authorizations. Document all activities and outcomes accurately in the patient's electronic health record (EHR). Address and resolve initial authorization rejections or requests for additional information. Qualifications: Minimum of 2 years of experience in medical prior authorizations, specifically for surgical or medical procedures. Strong understanding of CPT (procedural) and ICD-10 (diagnostic) codes is required. Demonstrated experience navigating the portals of major medical insurance carriers (e.g., UnitedHealthcare, Aetna, Cigna, BCBS). Ability to read and interpret clinical documentation to extract information supporting medical necessity. Excellent organizational skills and the ability to manage a large caseload with competing deadlines. Experience in gastroenterology or surgical practice is highly preferred. Compensation: Base Salary: INR 5-8 LPA Bonus: Upto 10% based on performance.
Dear Candidate, We are looking for candidates who have excellent fluency in English with neutral accent. The candidate will be interacting with customers in USA. The candidate should be ready to work in US timings from our call center in Udhyog Vihar Gurgaon Haryana and should be living close by. No conveyance will be provided by the company. Pl send your video with at least one minute of speech on your own self to my whatsup No 8800990300. Pl do not apply if you are not very fluent in English. Thanks Manjit Vice President
Remote Clinical Coordinator (US-based practice): Draft medical necessity letters, triage patient messages, and relay lab results. Requires medical degree, strong English, EHR skills, and full-time work in US EST hours.
Role & re Remote Clinical Coordinator Job Summary We are seeking a detail-oriented and highly professional Clinical Coordinator to join our remote team. This role provides critical administrative and clinical support to a busy US-based medical practice. The ideal candidate will have a strong medical background (Nurse, Doctor, or equivalent) and excellent communication skills, enabling them to serve as a vital link between the clinical team and patients. Key Responsibilities Drafting Medical Necessity Letters: Compose clear, concise, and accurate Letters of Medical Necessity (LMNs) for medical procedures, treatments, and prescriptions to support insurance pre-authorization requests. Ensure all letters are well-structured, referencing patient history and clinical data to justify the required services. Patient Portal Message Triage: Monitor, review, and triage incoming patient messages via the practice's secure online portal. Respond to non-clinical inquiries and route messages requiring clinical judgment to the appropriate US-based healthcare providers (Physicians, PAs, NPs). Categorize and prioritize messages based on urgency to ensure timely responses. Communicating Lab Results: Contact patients by phone to communicate normal lab and test results in a professional and reassuring manner. Follow strict protocols for patient identification and information delivery, ensuring patient privacy and understanding. Document all patient communications accurately in the electronic health record (EHR) system. Qualifications and Skills Required: A clinical degree such as MBBS, BAMS, BHMS, BDS, or B.Sc. in Nursing. Exceptional command of the English language (both written and verbal), with a neutral or US-compatible accent for clear patient communication. Strong understanding of medical terminology, anatomy, and physiology. High attention to detail and commitment to accuracy. Ability to work independently and manage time effectively in a remote setting. Must be able to work full-time during US Eastern Time (EST) business hours. Preferred: Prior experience in a similar role (e.g., medical scribe, remote medical assistant, clinical support). Familiarity with Electronic Health Record (EHR) or Electronic Medical Record (EMR) systems. Understanding of US healthcare system practices and patient privacy regulations (HIPAA). To Apply: Please submit your resume and a brief cover letter outlining your relevant experience and why you are a good fit for this role. Preferred candidate profile
Responsibilities: * Maintain medical records accurately * Coordinate patient care with doctors & staff * Manage doctor schedule & appointments * Assist with billing & insurance claims Office cab/shuttle Health insurance Provident fund Food allowance Annual bonus
We are a US-based AI technology company at the forefront of innovation. We are dedicated to building an exceptional customer experience and are looking for passionate and driven individuals to join our fast-growing team. This is an opportunity to grow with us and be a part of the future of AI. Job Summary: We are seeking a motivated and customer-focused Call Center Agent with the title as AI Escalation Specialist to join our dynamic team. In this role, you will be the first point of contact for our customers, responsible for addressing their inquiries, resolving issues, and providing information about our products and services. The ideal candidate is an excellent communicator with the ability to stay composed and professional while ensuring a positive customer experience. Core Responsibilities: Manage a high volume of inbound customer calls in a timely and professional manner. Identify and assess customers' needs to achieve satisfaction, providing accurate and complete information. Follow communication scripts and protocols to ensure consistency and quality in customer interactions. Keep records of customer interactions, process customer accounts, and file documents. Go the extra mile to engage customers and provide a world-class service experience. Required Qualifications: Excellent proficiency in spoken English with clear and effective communication skills. Proven experience in a previous role as a Call Center Representative or in a similar customer service position. Fast and accurate typing speed to ensure efficient data entry and call logging. Basic technology proficiency, including familiarity with standard office software and the ability to learn new systems quickly. Must be a resident of Delhi or the National Capital Region (NCR). Preferred Qualifications (Bonus Points): Prior experience interacting with and supporting American customers. Advanced computer skills and experience with CRM software. What We Offer: Salary: 7-9 Lakhs per annum (negotiable), plus performance-based bonuses. A positive and supportive work environment with opportunities for growth and upskilling. Comprehensive training and development programs. This is an on-site role; all necessary work equipment will be provided at our office location in Gurugram, Haryana.
Prior Authorization Specialist (Procedures) About Us At NextDimension AI, our mission is to simplify healthcare. We are a technology company building the next generation of AI-powered systems to automate complex workflows and create a more responsive, patient-centric experience. We have bold ambitions to reimagine healthcare, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans the Front Office, Clinical Operations, and Revenue Cycle Management. Website: www.nextdim.io Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare. Role Description As a Prior Authorization Specialist for Procedures, you will be a crucial link between our patients, our clinical team, and insurance carriers. Your primary responsibility will be to secure financial clearance for all office-based and hospital-based gastroenterology procedures, such as endoscopies, colonoscopies, and capsule endoscopies. You will manage a high volume of authorization requests, meticulously track their status, and ensure all necessary approvals are in place before the patient's scheduled service. Key Responsibilities: Verify patient insurance eligibility and benefits for all scheduled GI procedures. Initiate, submit, and diligently follow up on prior authorization requests through insurance portals, phone, and fax. Gather and attach required clinical documentation (physician notes, lab results, imaging reports) to justify medical necessity. Communicate effectively with physicians, nurses, and scheduling staff regarding the status of authorizations. Document all activities and outcomes accurately in the patient's electronic health record (EHR). Address and resolve initial authorization rejections or requests for additional information. Qualifications: Minimum of 2 years of experience in medical prior authorizations, specifically for surgical or medical procedures. Strong understanding of CPT (procedural) and ICD-10 (diagnostic) codes is required. Demonstrated experience navigating the portals of major medical insurance carriers (e.g., UnitedHealthcare, Aetna, Cigna, BCBS) . Ability to read and interpret clinical documentation to extract information supporting medical necessity. Excellent organizational skills and the ability to manage a large caseload with competing deadlines. Experience in gastroenterology or surgical practice is highly preferred. Compensation: Base Salary: INR 6-8 LPA Bonus: Upto 10% based on performance. Pl apply only if your are fluent in English Speaking .
Prior Authorization Specialist (Procedures) About Us At NextDimension AI, our mission is to simplify healthcare. We are a technology company building the next generation of AI-powered systems to automate complex workflows and create a more responsive, patient-centric experience. We have bold ambitions to reimagine healthcare, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans the Front Office, Clinical Operations, and Revenue Cycle Management. Website: www.nextdim.io Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare. Role Description As a Prior Authorization Specialist for Procedures, you will be a crucial link between our patients, our clinical team, and insurance carriers. Your primary responsibility will be to secure financial clearance for all office-based and hospital-based gastroenterology procedures, such as endoscopies, colonoscopies, and capsule endoscopies. You will manage a high volume of authorization requests, meticulously track their status, and ensure all necessary approvals are in place before the patient's scheduled service. Key Responsibilities: Verify patient insurance eligibility and benefits for all scheduled GI procedures. Initiate, submit, and diligently follow up on prior authorization requests through insurance portals, phone, and fax. Gather and attach required clinical documentation (physician notes, lab results, imaging reports) to justify medical necessity. Communicate effectively with physicians, nurses, and scheduling staff regarding the status of authorizations. Document all activities and outcomes accurately in the patient's electronic health record (EHR). Address and resolve initial authorization rejections or requests for additional information. Qualifications: Minimum of 2 years of experience in medical prior authorizations, specifically for surgical or medical procedures. Strong understanding of CPT (procedural) and ICD-10 (diagnostic) codes is required. Demonstrated experience navigating the portals of major medical insurance carriers (e.g., UnitedHealthcare, Aetna, Cigna, BCBS). Ability to read and interpret clinical documentation to extract information supporting medical necessity. Excellent organizational skills and the ability to manage a large caseload with competing deadlines. Experience in gastroenterology or surgical practice is highly preferred. Compensation: Base Salary: INR 6-8 LPA Bonus: Upto 10% based on performance.
Role & responsibilities You shall be communicating with patients in USA for there health care needs. Preferred candidate profile Excellent fluency in English is essential
You shall be speaking to patients in USA and advising them on various health related issues . You should have excellent fluency in English and should have good knowledge of your profession as a Nurse to understand various health related terminalogies. You shall have to come to our call center in Udhyog Vihar Gurgaon and work in New York Office timings.