302 Prior Authorization Jobs - Page 4

As a Lead Product Manager in the US Healthcare industry, your role involves owning the end-to-end product lifecycle. This includes tasks such as ideation, market research, business case development, and overseeing the launch and adoption of healthcare solutions. You will collaborate closely with engineering, data, and design teams to ensure the delivery of scalable healthcare solutions such as risk adjustment, prior authorization, care management, and claims optimization. Furthermore, you will work in partnership with compliance and regulatory teams to integrate CMS, HIPAA, and state mandates into the product design. Your key responsibilities will include: - Driving competitive and market an...

Greetings from Med-Metrix....!!! Walk-in date ( 08- Oct-25 to 10-Oct -25) Preferred candidate profile : 1-3 years experience in IV& Authorization calling with mandatory authorization expertise Experience in medical billing ( US Healthcare industry ) Interview mode Direct walk-in Preferred immediate joiner's Work mode - work from office Night shift Salary good in the Industry Perks and benefits : CAB Facility (Two way) Incentives Captive Organization Walk-in time: 4 :30 PM to 6 PM Interview Address : 7th Floor, Millenia Business Park II, 4A Campus,143, Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Contact Person : Indhu HR Contact Number : 9363327746 Mail : iraje...

We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- 42 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 1. AR Callers Denial Management (Physician Billing) Locations: Hyderabad | Mumbai | Chennai Experience: Minimum 1+ Year in AR Calling (Denial Management) Qualification: Intermediate & Above Salary: Up to 42,000...

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing/Prior Authorization Voice.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees to 30 days Notice Required Candidate profile looking for AR caller/Sr AR Caller/Ambulance Billing.Experience in to Hospital Billing/Physician Billing/Prior Authorization Voice .Who have experience in CMS1500 or UB04.Incentive based performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

As a DME Specialist at Med Karma, a global revenue cycle management company specializing in medical billing solutions for healthcare providers, you will play a crucial role in ensuring the financial viability of our clients by streamlining administrative processes. Your expertise in reviewing claims, ensuring policy compliance, and handling billing functions will set you apart in the industry. **Key Responsibilities:** - Accurately process and submit claims for Durable Medical Equipment (DME) services. - Review insurance verification and prior authorization for all DME claims. - Communicate with insurance companies to resolve claim denials and rejections. - Maintain detailed records of billi...

RCM Hiring Drive AR Calling | Prior Auth | EVBV | Billing | In Multiple Locations :- Hyderabad, Chennai, Bangalore, Mumbai Hyderabad Openings 1. AR Caller Minimum 1 year experience Salary: Up to 40,000 Take-Home + 2,200 Shift Allowance 2. Prior Authorization QA Minimum 3+ years in Prior Authorization (at least 1 year QA on/off papers) Salary: Up to 47,000 Take-Home 3. Prior Authorization Executive Minimum 1 year experience in Clinical Prior Authorization Salary: Up to 40,000 Take-Home Chennai Openings 1. AR Caller Physician Billing Minimum 1.5 years experience (CMS 1500 Form) Salary: Up to 5.5 LPA + 2,200 Shift Allowance 2. Prior Authorization QA Minimum 3+ years in Prior Authorization (at l...

Role & responsibilities Job Title: Drug Prior Authorization Job Title : Drug Prior Authorization Specialist Location : Erandwane, Kothrud, Pune 411004 Job Type : Full-time, Night Shift Salary : Based on experience; best in industry Job Summary Manage prior authorization process for treatments and medications. Ensure timely approvals through effective communication with providers, insurers, and patients. Handle on-call coordination to support smooth processing. Key Responsibilities Process and track prior authorization requests. Review clinical documents for compliance and medical necessity. Coordinate with insurance providers for approvals and appeal denials as needed. Maintain detailed reco...

Role & responsibilities Job Summary: Responsible for managing the full revenue cycle processincluding claims, payments, denials, and ARwhile leading a team, ensuring compliance, and driving process improvements to optimize revenue collection. Key Responsibilities: Team Leadership & Management Supervise and train RCM team Monitor performance and productivity Conduct team meetings and resolve issues Revenue Cycle Operations Oversee claims, payment posting, denials, and AR follow-up Ensure accurate and timely processes Collaborate with coding and billing teams Denial & AR Management Analyze denial trends and implement appeal strategies Reduce AR days and improve cash flow Compliance & Regulatio...

Company - Pacific Access Healthcare Location - Noida Position - Executive / Sr Executive Contact - 9311316017 (WhatsApp & Call) Roles and Responsibilities Obtain prior authorizations from payers according to established guidelines. Follow up on outstanding prior authorizations until approvals are received. Ensure accurate coding of authorization requests and maintain records accordingly. Collaborate with healthcare providers to resolve billing discrepancies related to prior authorizations. Desired Candidate Profile 1-5 years of experience in Prior Authorization, US Healthcare, RCM (Revenue Cycle Management), or similar roles. Strong understanding of authorization processes and regulations. E...

Role & responsibilities Job Summary: Responsible for managing the full revenue cycle processincluding claims, payments, denials, and ARwhile leading a team, ensuring compliance, and driving process improvements to optimize revenue collection. Key Responsibilities: Team Leadership & Management Supervise and train RCM team Monitor performance and productivity Conduct team meetings and resolve issues Revenue Cycle Operations Oversee claims, payment posting, denials, and AR follow-up Ensure accurate and timely processes Collaborate with coding and billing teams Denial & AR Management Analyze denial trends and implement appeal strategies Reduce AR days and improve cash flow Compliance & Regulatio...

Key Responsibilities: 1.Leadership & Team Management: Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. 2.Revenue Cycle Operations & Optimization: Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. Ensure timely resolution of claim denials and rejections to maximize reimbursement. Implement best practices to enhance revenue collection and minimize outstanding balances. ...

Dear Candidate, Greetings from AGS Health.! Job Title: PA Caller- Prior Authorization Eligibility: Candidate holding 1-3 years of experience into Medical Billing (Prior Authorization) can only apply for this position. Working Days - 5 Days (Fixed weekend off) Location: Chennai - OMR Interested candidates can WhatsApp their updated resume to 9384898239 Subhiksha HR-Talent Acquisition AGS Health

Role & responsibilities We Are Hiring AR CALLERS & "prior authorisation - QA"for chennai, hyderabad, mumbai || 2 way cab || Exp :- Min 1+ years exp as a AR caller Package :-Up to 40k Take home Locations:- chennai, hyderabad, mumbai ( AR CALLER ) - up to 40k Take Home "prior authorisation - QA" - up to 47k Take Home ( Min 3.6yr exp into "prior authorisation" ) - Hyderabad & Chennai Work from office Interested candidates can share your updated resume to HR INDHU- 9032857196(share resume via WhatsApp) and indrani.g@axisservice.co.in Refer your friend's / Colleagues Preferred candidate profile Min 1yr exp into ar caller

We are looking for experienced professionals in the Healthcare Revenue Cycle Management (RCM) domain. Hyderabad AR Caller Prior Authorization Prior Auth QA Chennai AR Caller Mumbai AR Caller Prior Authorization Eligibility Verification (EVBV) Medical Billing Bangalore AR Caller Eligibility Criteria: Minimum 1 year of experience in any of the following: AR Calling / Denial Management / Prior Authorization / EVBV / Medical Billing Relieving letter not mandatory Immediate joiners preferred Salary Details: AR Caller: Up to 40,000 (Take-home) Prior Authorization & EVBV: Up to 5.75 LPA Medical Billing: Up to 4.3 LPA How to Apply: Share your updated CV with Ribca HR 9059145980

Company Description Nuvae delivers an advanced GenAI-powered Revenue Management Agent and Conversational AI Platform tailored for hospitals and healthcare practices. Our solutions specialize in information retrieval, Retrieval-Augmented Generation (RAG), process automation, and generating actionable insights. By leveraging Nuvae, healthcare organizations can improve operational efficiency and maximize revenue outcomes. About the Role We are seeking an experienced Revenue Cycle Management (RCM) Manager with deep knowledge of the U.S. healthcare system. The ideal candidate will bring strong expertise across the full RCM cycle, with a focus on eligibility verification, prior authorization, and ...

We Are Hiring: AR Callers (PB & HB) - US Healthcare Location: Chennai Experience: Minimum 2 years in AR Calling - Denial Management Package: Up to 5.5 LPA Location: Hyderabad Experience: Minimum 1 year in AR Calling - Denial Management Package: Up to 40k TH Qualification : Inter & above Shift: Night Shift (6:30 PM to 3:30 AM) Notice Period: Immediate joiners - 15 days notice acceptable Perks: 2way cab facility Incentives Allowances Apply Now !! HR Harshitha - 7207444236 ( Call / WhatsApp ) ragaharshitha.gunturu@axisservice.co.in Refer your friend's / Colleague !!!

Location CHENNAI & 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...

Were Hiring Healthcare RCM Roles Location: Hyderabad 1. AR Caller (Physician & Hospital Billing) Minimum 1 Year Experience in AR Calling Salary: Up to 40,000 Take-Home 2. Prior Authorization Minimum 1 Year Experience Salary: Up to 5.75 LPA 3. Rejections Process Minimum 1 Year Experience in Rejections Day Shift | Location: Hyderabad Salary: Up to 5.5 LPA Additional Details: Immediate Joiners Preferred Relieving Letter NOT Mandatory Apply Now: Share your resume with HR Shiny 9603167695

Roles and Responsibilities: We are looking for experienced professionals to join our team as Billing Specialists in the US Healthcare industry. This role covers end-to-end billing functions, including Accounts Receivable, Charge Entry, Prior Authorization, Payment Posting, Eligible Benefits & Verification, and Customer Service. Roles and Responsibilities: Manage end-to-end U.S. healthcare billing functions with accuracy and compliance. Handle Accounts Receivable (AR): follow-up on claims, resolve denials, post payments, and ensure timely collections. Perform Charge Entry with precision, ensuring correct coding and billing information. Manage Prior Authorization (PA): verify insurance, obtain...

Role Overview: As a member of the team, you will be responsible for handling prior authorization requests and validating all necessary documentation. Your role will also involve maintaining accuracy and compliance in documentation and reporting, as well as ensuring timely processing and resolution of pre-authorization cases. Key Responsibilities: - Handle prior authorization requests and validate all required documentation. - Maintain accuracy and compliance in documentation and reporting. - Ensure timely processing and resolution of pre-authorization cases. Qualifications Required: - Minimum 8 months to 4 years of relevant experience (on paper). - Must have all necessary documents (educatio...

Accounts Receivable & Denial Mgmt Specialist (3+ yrs US exp). Submit clean claims, review & resolve denials, analyze root causes, file timely appeals/reconsiderations, track trends & ensure compliance to boost reimbursements to prevent revenue loss

We're Hiring! | Clinical Prior Authorization Executive & QA Open Roles: Clinical Prior Authorization Executive Quality Analyst (QA) Prior Authorization Job Responsibilities: For Clinical Prior Authorization Executive: Review medical records and prior authorization requests. Validate clinical necessity based on payer policies and guidelines. Coordinate with healthcare providers and insurance companies. Accurately document and process approvals/denials in the system. For QA Role: Audit completed prior authorization cases. Ensure compliance with quality standards and turnaround times (TAT). Provide feedback and support to improve team performance. Maintain documentation and generate quality rep...

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 Title: Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & 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 call...

Role Overview: As a Referral & Loyalty RM/TL at Bonito Designs located in Mumbai, your primary responsibility will be to manage and maintain relationships with clients, oversee loyalty programs, and ensure customer satisfaction. You will handle customer inquiries, process prior authorizations, and coordinate with insurance providers. Your role will also involve using medical terminology and providing excellent customer service to enhance the client experience. Key Responsibilities: - Manage and maintain relationships with clients - Oversee loyalty programs - Ensure customer satisfaction - Handle customer inquiries - Process prior authorizations - Coordinate with insurance providers - Use med...