35 Pre Auth Jobs

Hiring Now: Quality Manger Prior Authorization (RCM) Work Location: [Hyderabad] Experience: 6-14 years | Full-time We are looking for dynamic Prior Authorization-US RCM (Revenue Cycle Management) domain. Key Responsibilities: Follow up with insurance companies for claim status(semi-Voice) Reviewing authorization requests Verifying coverage, and coordinating with patients, providers, and insurance companies Resolve Reviews, Verification and pending claims Maintain accurate documentation and call notes Requirements: Eligibility Verification Physician/Hospital billing Medicare & Medicaid Good communication and analytical skills Knowledge of denial management and AR lifecycle Looking for Immedia...

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations. Work from Office Location- Bangalore **Please Ignore if you have experience into NON VOICE**Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & Responsibilities: Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accur...

Job Title: Associate/ Sr Associate - Authorization Years of Experience: 1-3 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Mode of operation: Work from office Mode of Interview: In-Person Location: Hyderabad, Telangana Expected Qualities: Integrity Attention to detail. Creative- Out of the Box thinking Challenger of the status quo Organized Passionate Job Requirement: NextGen Experience is desirable. Orthopedic and Oncology specialty experience will be valuable. Knowledge of the US payer mix will be a great value add. 1 - 3 years of experience adjudicating patient authorizations as per HIPPA guidelines Verifying Member, Patient & Provider details as submitted Contacting insurance comp...

The Prior Authorization Manager is responsible for overseeing the daily operations of the prior authorization department. This role involves leading a team to ensure all required prior authorizations are obtained accurately and in a timely manner for patient services, medications, and procedures. The manager will develop and implement efficient workflows, monitor key performance indicators, ensure compliance with all payer and regulatory requirements, and serve as a key resource for staff and clinical teams. The ultimate goal is to minimize claim denials, reduce delays in patient care, and optimize the revenue cycle. Key Responsibilities: Leadership and Team Management: Lead, train, and ment...

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE**Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process.Role & responsibilitiesObtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.Provides i...

Location Hyderabad & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

Location Bangalore & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

Location Hyderabad & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

Prior Authorization, EVBV and Medical Billing - Mumbai Experience: Minimum 1 Year in Prior Authorization / EVBV / Medical Billing Package: Prior Authorization / EVBV - Upto 5.75 LPA + Incentives Medical Billing - Upto 4.34 LPA + Incentives Qualification: Graduation - If 2yrs below experience Intermediate & Above - If 2yrs+ experience Notice Period: 0 - 60 Days of notice is accepted Relieving Letter: Mandatory Interview Mode: Virtual 2-Way Cab Facility Prior Authorization QA - Hyderabad Eligibility :- Min 4yrs into Prior Auth and 1 year as a Prior Auth QA On Or Off Papers is fine but must have QA experience, must have work experience in clinical review process Package :- Upto 47K Take-home + ...

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities: Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.Provid...

Hiring for Healthcare authorization Need B.pharma & M.Pharma pass with 1yr exp in medical scribe, authorization, summarization Loc Gurgaon Salary upto 5.80LPA 5 Days working Rotational shift/OFF Snehal 9625998099 Lakshita 8595954721 Divya 9910810424 Required Candidate profile Candidates must have Good communication skills. Candidates must be comfortable working in any shifts.

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE**Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process.Role & responsibilitiesObtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.Provides i...

Location Hyderabad & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

Hiring: AR Caller Denial Management | US Healthcare (WFO) Location: Hyderabad, Chennai, Mumbai and Banglore. Shift: Night Shift Work Mode: Work from Office Salary: Up to 40,000 In-Hand + Incentives & Allowances Cab Facility: 2-Way Cab Provided Job Role: We are looking for experienced AR Callers Denial Management professionals in the US Healthcare domain . The ideal candidate should be well-versed in handling denied claims, resolving issues, and improving cash flow for physician billing accounts. Key Responsibilities: Analyze and resolve denials and rejections for US healthcare claims. Follow-up with insurance companies via phone calls to check claim status. Take appropriate actions based on ...

We Are Hiring for AR Caller, Prior Auth Executives, EVBV Executives || Loc :- Hyderabad, Mumbai & Chennai Hyderabad - AR Callers & EVBV Porcess 1. Experience - Min 1 year into ar calling Package - Max Up to 33k Take Home Qualification - Inter & Above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews 2. Experience - Min 1 year into EVBV Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Notice Period :- 0 to 60 Days / Relieving is Mandate Cab - 2 Way Cab Virtual Interviews Mumbai - AR Callers & Prior Auth 1. Experience - Min 9 Months Exp into ar calling Package - Max Upto 40k Take Home Qualification - Inter & Above Notice Period :- Immedi...

Location Bangalore & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

HIRING ALERT PRIOR AUTHORIZATION Process || Up to 40,000 Take-home || Experience Required: Minimum 1 Year in Prior Authorization Location: Chennai (Work From Office) Salary: Up to 40,000 Take-home Perks: 2-Way Cab Facility Joining: Immediate Joiners Preferred | Relieving Letter NOT Mandatory Shift: Night Shift (US Shift) Employment Type: Full-time | Permanent Role Why Join Us? Competitive take-home salary up to 40,000/month 2-way cab transport for safe & hassle-free commute Stable and fast-growing organization in US Healthcare Relieving letter not mandatory smooth onboarding for experienced professionals Immediate joining opportunities available Apply Now! Contact HR Suvarna: 7095162832 Emai...

OPEN Positions: 1. AR Caller - PB / HB - HYDERABAD & Chennai & Bangalore & Trichy & Mumbai 2. Pre Auth - AR - Chennai / Mumbai 3. EVB - AR - Eligibility - HYDERABAD / Mumbai Job description Responsibility Areas: Should handle US Healthcare Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Updat...

OPEN Positions: 1. AR Caller - PB / HB - HYDERABAD & Chennai & Bangalore & Trichy & Mumbai 2. Pre Auth - AR - Chennai / Mumbai 3. EVB - AR - Eligibility - HYDERABAD / Mumbai Job description Responsibility Areas: Should handle US Healthcare Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Updat...

Secure prior-authorizations/referrals, verify insurance, update orders, provide clinical information, and requests retro-authorizations.

Job description Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good underst...

Job description The above job is for an AR Calling voice process, - work-from-office location in Bangalore. Candidates with experience in non-voice processes, claim adjudication, claim processing, or working on the payer side, as well as freshers, should please ignore this job posting. Role & responsibilities : - Minimum of 6 months of experience in handling accounts receivable, with a focus on denial management in the voice process. - Should have experience in handling US Healthcare Medical Billing. - Calling the insurance carrier & documenting the actions taken in claims billing summary notes. Preferred candidate profile : Should have min 6 months of experience into AR Calling , Denial man...

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provi...

Location Bangalore & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

Dear Applicants, Greetings from Omega Healthcare Management and services! Fresher's and Claim or non relevant experience applicant's please Ignore. Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations This opportunity is a work-from-office (WFO) position based in Bangalore. Job description **Please Ignore if you have experience into NON VOICE** M inimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Obtains prior-authorizations and referrals fr...