56 Pre Auth Jobs

Hi, We are Hiring for experienced Ar caller- prior authorisation Exp:1yr - 3 Yrs Sal: Max 33 K Loc - Chennai PF Account Mandatory need immediate joiners, no need relieving letter panel - Vrtual panel Interested share Your Resume to 9659045792(w)Must Relevant Experience In AR - Prior authorization (work Experience) Immediate joining Required Must initiate the Authorization over the call.

Role & responsibilities A Process Trainer in the Prior Authorization (PA) department ensures that team members are trained to handle insurance pre-approval processes accurately and efficiently, complying with payer guidelines and organizational standards. Preferred candidate profile Applicant must have at least 5 yrs of experience in Prior Authorization (PA) department. RCM experience of 4/5 yrs are mandatory. Shift - Day & Night shift Location - Andheri & Turbhe Education - HSC and Above Who can apply? - Any Quality Analyst, SME, Trainer, Senior process associate who have 5 yrs + experience in Payment posting department can apply. Kindly email your resume on unnati.shah@infinx.com to apply.

The Prior Authorization Team Lead is responsible for overseeing the daily operations of the Prior Authorization team, ensuring the timely, accurate, and compliant processing of all prior authorization requests for medical procedures, medications, or treatments. This role involves leadership, staff development, workflow management, and acting as a subject matter expert for complex cases and payer guidelines. Key Responsibilities: Leadership and Team Management: Supervise, motivate, and mentor a team of Prior Authorization Specialists, ensuring a positive and productive work environment. Monitor daily workloads, workflow distribution, and team productivity metrics (KPIs) to ensure targets are ...

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. 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. Responsibilities : Verifying coverage: Confirming that treatments are covered by the patient's in...

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...

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...

Job Openings for Prior AUTH (Analyst, QA & Team Lead) i. Prior Auth Associate: - Should hold min 1 year experience as a Prior Auth Associate. - Should carry out experience in in-patient Authorization (HB). - Looking for 0 to 15 Days Notice Period. - Hyderabad Location. - Hike on Last CTC. - Two way Cab Provided. - Work From Office. ii. Prior Auth Quality Analyst: - Should hold 1 Year on Paper Experience as a Quality Analyst. - Accurate Audit the Users Production and Quality. - Should carry out experience in Out Patient & in-patient Authorization (HB). - Looking for Immediate to 30 Days Notice Period. - Hyderabad Location. - Hike on Last CTC. - Two way Cab Provided. - Work From Office. iii. P...

Hiring Now: prior Authorisation US Healthcare process Work location : Hyderabad Experience : 1-3 yrs Full time we are looking for dynamic prior authorisation-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 life cycle Apply now by sending you...

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...

Hiring Now: Quality Manger Prior Authorization (RCM) Work Location: [Hyderabad] Experience: 10-17 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 Immedi...

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...

The Prior Authorization Team Lead is responsible for overseeing the daily operations of the Prior Authorization team, ensuring the timely, accurate, and compliant processing of all prior authorization requests for medical procedures, medications, or treatments. This role involves leadership, staff development, workflow management, and acting as a subject matter expert for complex cases and payer guidelines. Key Responsibilities: Leadership and Team Management: Supervise, motivate, and mentor a team of Prior Authorization Specialists, ensuring a positive and productive work environment. Monitor daily workloads, workflow distribution, and team productivity metrics (KPIs) to ensure targets are ...

The Prior Authorization Senior 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, a...

New Openings from happiehire Position: QCA in pre auth Min 4 Years of experience must Max salary slab is 47k Immediate joiners need Location: chennai and Hyderabad qca designated papers are not mandatory send cv to 8925221508 yogalakshmi Happiehire

As an experienced candidate in the field of handling Govt schemes, PSU, Govt, Pvt Sector, IT/ITES, Manufacturing, ESI, Factories, Pvt Ins & TPA, you will be responsible for: - Pre Auth, Portal updation, Query Management, Final Approvals, Courier, Claims, Claims submissions, Receivables, Reconciliation - Conducting all documentation work required for cashless services to clients, ensuring an end-to-end solution with proper data management and recording - Working on new empanelment for Ins/TPA's, Govt, Semi Govt, Autonomous, Pvt Corporates, PSU's, etc. - Maintaining Ins Trackers to keep track of all cashless/insurance cases - Handling mail correspondence with Ins & TPA's for all communication ...

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...

New Opening | Clinical Prior Authorization Executive Hyderabad Eligibility: Minimum 1 Year Experience in Clinical Prior Authorization (Clinical Review Process is Mandatory) Package: Up to 40,000 Take-Home Location: Hyderabad Gachibowli Qualification: Any Life Science Background Shift Timings: Night Shift (6:30 PM – 3:30 AM) Transport: 2-Way Cab Facility (Up to 30 KM Radius) Notice Period: Immediate Joiners Preferred (Relieving Letter Not Mandatory) Interview Mode: Virtual Interview Rounds: 1 Operations Round Apply Now – Immediate Hiring in Progress! TO APPLY share your resume to HR SHRAVANI - 8121575006

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.Provide...

Were Hiring Prior Authorization QA | Hyderabad (Gachibowli) Eligibility 4+ Years in Prior Auth 1+ Year as QA (On/Off papers, but must be QA exp) Must have Clinical Review Process experience with Life Science background Qualification: Inter & Above Salary: Up to 47K Take-Home 2-Way Cab (30 KM radius) Night Shift (6:30 PM – 3:30 AM) Hyderabad – Gachibowli Immediate Joiners (Relieving letter not mandatory) Apply Now: Dharani – 9100982938 (WhatsApp your resume) dharani.palle@axisservice.co.in Referrals are Welcome – Share with friends & colleagues!

Obtains prior-authorizations, referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors,updates current Orders,Tasks to provide up-to-date, accurate information.

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...