Prior Authorization Analyst

Job Title:

Location:

Experience Required:

Prior Authorization Analyst

Key Responsibilities:

• Process

  Prior Authorization requests

  for physician services efficiently and accurately.
• Manage

  denials, appeals, and resubmissions

  for timely resolution.
• Conduct

  calls with insurance companies

  to check authorization status and requirements.
• Work with different insurance plan types (

  HMO, PPO, EPO, POS

  ).
• Coordinate with physicians, providers, and insurance representatives.
• Document and track authorization requests, approvals, and denials.
• Ensure compliance with payer guidelines and healthcare regulations.

Required Skills & Experience:

• Minimum

  1+ year experience

  in

  Physician-side Prior Authorization

  .
• Strong understanding of

  prior auth denials and resolution

  process.
• Good communication skills for

  calling and follow-ups

  with payers.
• Knowledge of insurance plan types (

  HMO, PPO, EPO, POS

  ).
• Detail-oriented with the ability to work in a fast-paced environment.
• Familiarity with healthcare billing software will be an added advantage.

Benefits:

• PF/ESIC
• Cab/Meal Facility
• GMI
• 5 Days Working