59 Prior Authorization Jobs - Page 2

Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Chanchal (9251688424)

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team . Eligibility: Experience: Minimum 1 year in AR Calling (RCM Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance Additional Preferred Skills Medical Billing | Claims Management | Appeals | CPT / ICD Awareness | Payment Posting | EOB Analysis | US Healthcare Voice Process | International BPO Healthcare | AR Analyst How to Apply? Contact: Sanjana – 9251688426 Apply now and be part of a leading US Healthcare team!

Hiring AR Callers - Prior Auth (Chennai), Denials & Underpayments (Chennai & Bangalore) Min 1 yr exp Salary up to 37K + food & shift allowance. WFO Relieving letters mandatory. Contact: Suvetha-9043426511

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 management - Voice process ( Provider side) Interested call on 8762650131 or WhatsApp the resume on the same number. How to Apply: Contact Person: Venkatesh R (HR) Phone Number: 8762650131 (Call or WhatsApp) Email: Venkatesh.ramesh@omegahms.com Linked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore. Regards Venkatesh R https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ HR TEAMRole & responsibilities

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 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 ( Voice Process ) Good understanding of the medical terminology and progress notes How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Mansoor.shaikbabu@omegahms.com Call: +91 8618695607 Chat on WhatsApp: [Click here] (https://wa.me/8618695607?text=Hello) Quick Apply Link WA: [https://l1nk.dev/3XOpM](https://l1nk.dev/3XOpM) Regards: Mohammed Mansoor Human Resources Omega Healthcare LinkedIn: linkedin.com/in/mohammedmansoor8618695607 Phone: +91 8618695607 Email: (Mail to:Mansoor.shaikbabu@omegahms.com)

Verify patient insurance eligibility and benefits through payer portals or direct communication Follow up on pending authorizations and address any issues or discrepancies. Contact Number - 8956069774

Hiring for US Healthcare (RCM- AR Calling) Require Exp: Min. 1 Year into AR Calling (RCM)- Providers Side Skills: Revenue cycle management, Denial management, HIPPA, AR Follow up, Physician Billing CTC: Up to 5.5 LPA Location: Pune Qualification: Any Graduate Work from office Shifts: US 5 Days Working; 2 days rotational off Notice: Immediate to 30 Days CONTACT: Sanjana- 9251688426

Greetings from Vee Healthtek....! We are hiring 200+ AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Chennai Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Swetha - 9500489666(Available on Whats App) Please share your updated CV with Swetha.g@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of at least 5 years in Prior Authorization Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Salary upto 52k Per Month and Net Take Home excluding transportation is upto 50k per month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Greetings from Isource ITES Pvt Ltd !!! We are hiring for Authorization Caller, Immediate joiners prefered... Key Responsibilities: * Review and process prior authorization requests for medical treatments and services. * Communicate with insurance companies to ensure timely approvals. * Work closely with healthcare professionals to gather necessary documentation. * Maintain accurate records and follow up on pending authorizations. * Ensure compliance with healthcare regulations and company policies. Who Can Apply? * AR Caller Prior Authorization: 1 year of experience in healthcare. * Strong understanding of US healthcare revenue cycle management. * Excellent communication and analytical skills. * Ability to work night shifts and meet performance targets. Benefits: * 5 Days of working * 2 Way cab provided * Dinner provided Further details Call or whatsapp Reshma 9363256851/Nisha - 7904600955

We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (Auth/EVBV) No. of Openings: Pre-Auth Team Manager - 4 EVBV Team Manager - 4 Experience: 4+ years Location: Navi Mumbai (Airoli) Skills Required: Work experience of 4+ years in the RCM (in functions like Prior Authorization/EVBV) of a US Healthcare Setup Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Graduate in any stream Responsibilities: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com

Roles and Responsibilities Manage medical billing, coding, and claims processing for healthcare clients. Coordinate with insurance companies to resolve prior authorization issues and ensure timely payments. Conduct pharmacy benefit management services such as PHARMA analysis and clinical pharmacy support. Provide exceptional customer service to healthcare providers by resolving their queries related to medical equipment sales and insurance verification. Ensure accurate data entry into electronic health records (EHRs) systems. Desired Candidate Profile 0-5 years of experience in healthcare BPO or a related field. Strong understanding of medical coding (ICD-10), medical billing, and claims processing procedures. Excellent communication skills with ability to work effectively with diverse stakeholders including physicians, patients, and insurance companies.

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization Experience in Ortho is preferred Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 11pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 3pm to 8pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month and Net Take Home excluding transportation is upto 50k per month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Looking for minimum 1 year experience in Prior Authorization Submit and follow up on prior authorization requests to insurance companies and workers' compensation carriers Communicate with providers, adjusters, and case managers to ensure timely approvals Maintain accurate documentation and reports Assist in resolving denied authorizations or delays Experience in initiating Auth Interested candidates, kindly share your CVs to Akshay - akshay.kate@in.credencerm.com / 7249231833 HR Sneha- sneha.minj@in.credencerm.com / 7758931407

RCM Initiate and complete prior authorization requests for medical services and procedures Identify and resolve discrepancies in authorization information, escalating complex cases as needed Confirm patient’s insurance coverage and active status Perks and benefits Health Insurance Both Side Cabs Meals

Urgently Required AR Callers !!! . Min 1 year Exp in AR calling in Pre Auth & EV calling For more details contact: Nihila - 7305155582 Varshini - 7305188863 Varalakshmi - 6385161155 Vinothini - 6385161134 Required Candidate profile Salary & Appraisal - Best in Industry. Excellent learning platform with great opportunity. Only 5 days working (Monday to Friday) Two way cab will be provided. Dinner will be provided.

Candidate must have 1 Yr exp in Prior Authorization role. Identify key details such as diagnoses, treatment plans, lab results and physician notes Identify and interpret medical records to ensure accurate Confirm patient’s insurance coverage & status Required Candidate profile Must good communication skill Must all necessary documents. Any Graduate US Healthcare

We Are Hiring || AR Caller || Payment Posting ||Reimbursement RCM || Pre - Auth || - Hyderabad, Chennai, Noida & Mumbai|| Pre auth openings in mumbai Eligibility Criteria :- Min 1+ yrs experience into AR Calling Package :- Up to 5lpa Location :- Hyderabad Work From Office 2 Way Cab Facility Notice Period :- Preferred Immediate Joiners Relieving is Mandate Immediate Joiner If Interested Kindly share your updated resume to nsweta.axis@gmail.com HR Swetha- 9059181703 References are Welcome

We Are Hiring || AR Caller || Up to 40 K Take-home || HYD & CHENNAI & MUMBAI Eligibility Criteria :- Min 1+ yrs experience into AR Calling Package :- Up to 40k take home Location :- Hyderabad Work From Office 2 Way Cab Notice Period :- Preferred Immediate Joiners Relieving is not Mandate Immediate Joiner Interested candidates can share your updated resume to HR Sumalika - 9030461574 (share resume via WhatsApp ) Refer your friend's / Colleague

We are Hiring Join the Credence Global Services Team in Pune! Location: Pune (Work from Office Only) Role: AR Executive – Revenue Cycle Management Prior Authorization Payment Posting EVBV / Rejection's Contact: Akshay Kate Phone: 7249231833 / WhatsApp: 8080791017 Email: akshay.kate@in.credencerm.com

Join Our Team at Staffingly, Inc. Kondapur, Hyderabad Job Title: Trainer/Training Coordinator US Healthcare Location: Kondapur, Hyderabad Type: Full-Time, On-Site (NO REMOTE) Shift Timing: USA Shift (India Night): 6.30 PM IST - 3.30 AM IST Start Date: Immediate We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested in working at our office in Kondapur, Hyderabad. At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities to focus on what truly mattersexceptional patient careby simplifying and streamlining their administrative processes. Our comprehensive service offerings include handling intricate Prior Authorization processes, accurate insurance verifications, expert management of medication and procedural authorizations, full-spectrum Revenue Cycle Management (RCM), Medical Billing/Coding, Data Entry, and Customer Support services. With 24/7 operations, we ensure efficiency and responsiveness, supporting our clients in maintaining smooth and effective healthcare delivery. If youre passionate about making a meaningful impact in the healthcare industry by improving operational efficiencies and enhancing patient care, Staffingly, Inc. is the place for you. We are eager to see how your skills and expertise can contribute to our growth and success. For more information, visit us at https://staffingly.com Join Staffingly, Inc.s WhatsApp Channel to receive the latest Job updates & tips: https://hie.li/kAC Position Overview: Important Note: Only applicants with relevant experience as specified in the job requirements should apply. This position demands specific skills and experience in Trainer/Training Coordinator US Healthcare . If your background does not align with these criteria, please consider other opportunities more suited to your qualifications. Job Summary Looking for a skilled Trainer / Coordinator with hands-on experience in US healthcare processes (RCM, billing, coding, claims, etc.) and system training (EMRs, healthcare platforms). Must also train staff on MS Office tools (Excel, Word, PPT) and ensure team readiness on tools, processes, and compliance. Key Responsibilities Train on US healthcare process: RCM, claims, billing, coding, eligibility, prior auth Conduct sessions on EMR/software usage (e.g., Athena, Kareo, eClinicalWorks, Advanced MD) Provide hands-on training for MS Excel, Word, PPT Ensure knowledge of HIPAA, PHI handling, compliance Create training docs, SOPs, assessments Conduct refreshers, floor support, nesting Track trainee progress, share reports Requirements 2 to 5 yrs exp. in US healthcare Strong knowledge of RCM workflows & healthcare terms Fluent in English ; good with presentations & communication Proficient in MS Office & basic tools Willing to work in US shift timings Benefits: Provident Fund contributions. Overtime and holiday pay. On-site benefits, including travel allowances and meals. Referral and birthday bonuses. Night shift allowances. Recognition through our "Employee of the Month" program. Please email your CVs to career@staffingly.in with the subject line "JOB APPLICATION Trainer/Training Coordinator US Healthcare . "

We are currently hiring for Prior Auth , Payment Posting AR callers EVBV Call : 7249231833 / WhatsApp : 8080791017 Job Discription Excellent Knowledge in Denials. Can perform HIPAA compliant auto and manual posting requirements. Executes daily payment posting batch reconciliation. Understanding of posting offsets, forward balance, and refund processing / posting. Familiar with denial and remarks codes to perform posting and assignment of AR appropriately. Familiar with secondary billing process while perform cash posting. Clear understanding on: ERA & EOB. ERA codes. Insurance types. Balance billing. Co-ordination of Benefits. Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices. Good verbal communication, written communication and presentation skills. Ability to consistently execute and accomplish tasks within deadlines. Basic knowledge of MS Office. Experience working on imagine systems and Advanced MD would be an added advantage. Desired Skills 1 4 Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Highlights Best in Market Salaries. 3-week new hire training program. Transparent KRAs Enhance your Analytical/Decision Making. Cross functional Growth opportunities within 6 months for experienced candidates. Free Medical/Life insurance. Employee Centric & Compliant Policies. Free Home Pick & Drop Transportation. Fixed shifts post the training period [Rare changes in case of business requirements] 8:15 min login plus 45-minute break = 9-hour shifts. Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune IN. Con. 7249231833 Email: akshay.kate@in.credencerm.com

Job Description: We are looking for highly motivated Doctor of Pharmacy freshers who are passionate about starting their careers in healthcare operations. The selected candidates will play a vital role in supporting pharmacy and clinical processes for our U.S.-based healthcare clients. Roles and Responsibilities: Provide customer service support by handling clinical clarifications and assisting with outbound calls related to medication availability. Assist in processing clinical clarifications based on interventions from healthcare professionals and ensure accurate communication between departments. Handle data entry tasks, including entering and reviewing orders, ensuring accuracy in patient and medication information. Support pharmacy operations by processing prescriptions and ensuring compliance with quality standards and regulations. Assist with general clerical tasks as needed to support daily operations. Maintain awareness of compliance standards, particularly in relation to HIPAA and privacy regulations. Collaborate with internal teams to ensure the timely resolution of any operational issues. Demonstrate excellent customer service, communication, and organizational skills in all tasks. Experience/qualifications: Knowledge of Drug classification and Drug-Drug Interactions Doctor of Pharmacy graduates (2023/2024/2025 pass-outs) Knowledge of sig codes Knowledge of MS Outlook, MS Word, MS Excel & Internet Explorer Excellent communication skills both verbal and written Comfortable working in night shifts (U.S. shift timings) Excellent customer service & telephone skills Ensure compliance with HIPAA regulations and requirements. Shift Timings: Night Shift (U.S. Timings) Working Days: 5 Days a Week Job Location: Hyderabad Office-based only How to Apply: Interested candidates can apply directly through Naukri or send their updated resume to career@staffingly.com.

Job Title: Eligibility Verification & Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai / Bengaluru Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Coupon & Two-way Cab Key Responsibilities: • Review and process prior authorization requests for medical treatments and services. • Communicate with insurance companies to ensure timely approvals. • Work closely with healthcare professionals to gather necessary documentation. • Maintain accurate records and follow up on pending authorizations. • Ensure compliance with healthcare regulations and company policies. Who Can Apply? • AR Caller Prior Authorization: 1 year of experience in healthcare AR calling. • Senior AR Caller Prior Authorization: Minimum 2+ years of experience in AR calling with expertise in claim resolution. • Strong understanding of US healthcare revenue cycle management. • Excellent communication and analytical skills. • Ability to work night shifts and meet performance targets. If your interested in joining our team, please reach out to Varun Singh at 96009 08462 or email your resume to varun.si@veehealthtek.com. We look forward to welcoming you to Vee Healthtek Pvt Ltd!!!!