302 Prior Authorization Jobs - Page 7

Openings for experienced - AR Callers , Prior Authorisation , Medical Billing , Eligibility Verification || Up to 5 LPA || Locations : Hyderabad , Chennai , Mumbai || AR Caller : Min 1 yr of exp in AR Calling with Denial Management either into Physician Locations : Hyderabad , Chennai , Mumbai Package : Up to 40 K take home Prior Authorisation : Min 1 yr Of exp in Prior Authorisation for physician side in Voice Process Locations : Hyderabad , Chennai , Mumbai Package : Up to 5.75 LPA Medical Billing : Min 1 year of exp in Medical Billing Locations : Mumbai Package : Upto 4.3 LPA Eligibility Verification : Min 1 year of exp into Eligibility verification Locations : Mumbai Package : Upto 5.75 ...

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 + ...

EVBV Roles also open Apply now Mumbai and Hyderabad! Location : Mumbai Roles: Prior Authorization& EVBV Salary: Up to 5.75 LPA Experience: Minimum 1 year in Prior Auth Degree: Mandatory Relieving Letter: Mandatory Notice Period: 0- 60 Days Interested candidates can share your updated resume to HR Sumalika - 9030461574 (share resume via WhatsApp) Refer your friend's / Colleagues Prior authorization- Quality Assurance role for 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 exp only Note :- Candidate must have work experience in clinical review process. Package :- Upto 47K Take-home Location :- Hyderabad. Qualification :- ...

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 Keeping accurate records of authorization information Interacting with patients, insurance providers, and other staff to ensure accurate and timely claims Approving or authorizing prior authorizations over the phone, o...

Healthcare RCM Careers Mumbai We are expanding our team and looking for experienced professionals in: Prior Authorization | Medical Billing | EVBV What We Expect: 1+ Year in Prior Authorization & EVBV (Mandatory) Qualification: Intermediate & Above Relieving Letter: Mandatory Notice Period: Immediate to 60 Days Mumbai Location What We Offer: Salary up to 5.75 LPA Two-Way Cab Facility Defined Career Growth Path Professional yet Supportive Work Culture Interested candidates can share their resume at: HR Dharani - 9100982938 Mail ID : dharani.palle@axisservice.co.in

As a Sr. Process Associate- Behavioral Healthcare Billing at Med Karma, you will be responsible for handling medical billing solutions for healthcare providers specializing in behavioral health. With a minimum of 3 years of experience in this field, you will demonstrate expertise in behavioral health billing, coding, and reimbursement policies. Your role will involve managing a wide range of billing functions, including utilization management, prior authorization, claims review, and analyzing denials to develop effective appeal strategies. You should possess good communication skills and a strong understanding of revenue codes related to IOP/PHP services. Additionally, you must navigate carv...

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 AR Caller | Hyderabad | Chennai | Mumbai **Location:** Hyderabad, Chennai and Mumbai **Job Type:** Full-Time | Regular / Permanent **Position:** Senior AR Caller **Eligibility Criteria:** * Minimum **1+ year of experience** in AR Calling (Mandatory). * **Graduation** is mandatory. * **Relieving letter not mandatory**. * **Immediate Joiners** or candidates with up to **15 days notice period** preferred. **Compensation & Benefits:** * Salary: **Up to 40,000 Take-Home** * Additional **Incentives & Allowances** * **Cab Facility** provided **Required Skills:** * **Minimum 1 year of AR Calling experience** (Denial Management). * Strong **communication and interpersonal skills**. * Abili...

Urgent Hiring for- Role - QA Lead / Architect Location : Chennai , Bangalore, Hyderabad, Pune Mandate Skills : Functional Testing, Automation Testing , End to End US healthcare (Member Enrolment, Claims, Prior Authorization, Encounters and Care Management) Note- Strong experience in EDI with 8 years of experience in healthcare domain. Key Responsibilities: Develop, execute, and maintain end-to-end test scenarios spanning multiple healthcare domains (Member, Enrolment, Claims, Prior Auth, Encounters, Care Management). Collaborate with Business Analysts, Product Owners, and Stakeholders to understand requirements and translate them into comprehensive test strategies. Conduct functional, Automa...

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 infor...

Report results of evaluations to appropriate Quality/Operations stakeholders Achieve departmental productivity requirements Facilitate remote call monitoring sessions as needed internal quality audits internal & external calibration sessions Required Candidate profile Experience in managing international voice clients preferably in Banking/Insurance/Healthcare 2+yrs of experience BPO industry immediate joiners Suvidha Mahajan suvidham@emsol.co.in 9911254430

providing the day-to-day functional direction to agents within the program training classroom environment, including student progress monitoring for the duration of training, providing coaching & developmental feedback & readiness recommendations Required Candidate profile Proven experience in training methodologies & soft skills Process Training-Voice Process International BPO Exp 24*7 shifts 5 days working Suvidha Mahajan suvidham@emsol.co.in 9911254430

day to day communication directly with the US clients. Report creation and publishing. Responsible for the day-to-day supervision of a group of call center associates including work and attendance monitoring Handle a team of 20 to 30 people Required Candidate profile Healthcare domain knowledge Experience in Billing and Reconciliation Benefit Access will be an added advantage Prior Authorization Exp is a must Suvidha Mahajan suvidham@emsol.co.in 9911254430

Job Title: Prior Authorization Team Lead Location: Kondapur, Hyderabad - ONSITE Shift Timing: U.S. Time Zone - Indian night shifts Department: Revenue Cycle / Prior Authorization 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. 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...

This is a full-time on-site role for an Insurance Verification Specialist, located in Mohali. Your primary responsibilities will include verifying patient insurance coverage, obtaining prior authorizations, and accurately updating patient information. You will be required to communicate with insurance companies and patients to resolve any coverage issues, while consistently providing exceptional customer service. To excel in this role, you should possess Insurance & eligibility Verification and Prior Authorization skills, proficiency in Medical Terminology, strong Communication and Customer Service skills, attention to detail and accuracy, and the ability to work collaboratively within a tea...

* Please read the JD before applying* Role: Program Specialist (Voice Process-Outbound) Shift: 6:00 PM - 03:00 AM Transportation: Cabs are provided as per company policy Contract Duration: This is a fixed 6-month contract Work Model: Work From Home for initial Few Months, then Work From Office as per company's requirement Location : Bengaluru, Karnataka 560001 Interview Rounds: 3 Requirements: Experience: At least 2-4 years of customer service experience, with a background in the U.S. healthcare industry . Must be familiar with HIPAA guidelines and handling sensitive data. Education: A bachelor's or master's degree is preferred. Preferred candidate profile Candidates should be flexible in wo...

Job description EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE Position 1: Prior Authorization Executive- Voice Process. Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation. Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures Get prior authorization approval from insurance firms and nurse managers Appeal insurance companies after prior authorization refusals. Get prior authorization approval from insurance firms and nurse managers. Document account activity using corre...

Huge openings for AR Callers & Prior Authorisation - US Healthcare Locations: AR Caller: Hyderabad, Chennai, Mumbai Prior Authorisation: Hyderabad & Mumbai Eligibility: Minimum 1 year of experience in AR Calling / Prior Authorisation Qualification : Intermediate & above Immediate Joiners preferred Salary & Benefits: Salary : Up to 40,000 (Take-Home) 2-Way Cab Facility 5 Days Working (Saturday & Sunday fixed off) Attractive Performance-Based Incentives How to Apply: Share your updated resume on Whats App 9603167695 Note : The above requirement is only for US Healthcare - RCM .

*We're Hiring* Job Title: Multiple Positions Available - Revenue Cycle Management If Interested, Kindly Register to the below link :(Mandate) Registration Link: https://forms.office.com/r/KJxsEYmgGH?origin=lprLink Job Summary: We are seeking experienced and motivated individuals to join our growing team in Chennai and Hyderabad. We have multiple openings across various functions within our medical billing and healthcare operations departments. If you have a strong background in any of the areas listed below, we encourage you to apply! Key Responsibilities & Requirements: Accounts Receivable/AR Calling (5-7 Years Experience): Extensive experience in accounts receivable management within the h...

As a Prior Authorization Specialist at Resolv, you will play a crucial role in managing prior authorizations and referrals to ensure timely approvals and accurate verification of insurance eligibility. Your responsibilities will include reviewing clinical data, coordinating with insurance providers, and maintaining compliance with client workflows. Operating in a fast-paced, team-oriented environment, you will need to demonstrate exceptional accuracy, critical thinking, and multitasking abilities. Working remotely, you will be part of a night shift team based in Mumbai. Your primary functions will involve verifying patient insurance coverage, initiating new prior authorizations/referrals, an...

Were Hiring: AR Callers & Prior Authorization Executives US Healthcare (RCM / Medical Billing) Locations: AR Caller: Hyderabad | Chennai |Mumbai Prior Authorization: Hyderabad | Mumbai Eligibility: Minimum 1 year of experience in AR Calling / Prior Authorization / US Healthcare RCM Qualification: Intermediate & above Immediate Joiners preferred Salary & Benefits: Take-Home: Up to 40,000 2-Way Cab Facility 5 Days Working (Saturday & Sunday fixed off) Attractive Incentives How to Apply: Share your updated resume on WhatsApp: Archana - 9603164736

Job Description AR Caller (US Healthcare Physician Billing) Locations: Hyderabad | Mumbai | Chennai | Bangalore Work Mode: Work From Office (WFO) Employment Type: Full-Time, Permanent About the Role We are looking for AR Callers (Physician Billing – US Healthcare) with strong communication skills and prior experience in Accounts Receivable calling. This role involves working with US healthcare clients on denial management, claim follow-up, and ensuring timely collections. Key Responsibilities Handle AR calling for physician billing in US Healthcare domain. Follow up with insurance companies for claim status and resolution. Work on denial management and take corrective actions. Maintain docum...

Huge openings for AR Callers at Chennai and Bangalore. WORK FROM OFFICE Only. 50+ openings for AR Callers Min 1 year experience in Denial management & Healthcare is must. Physician and Hospital billing. AR Caller - Day & Night shift, Chennai & Bangalore. Rounds of Interview: Only one technical round. Shift Timing: Night Shift Pick up and drop facility at door step. Location: Chennai and Bangalore. Interview Mode: Virtual only (Online video call) Salary: Best in the Market + Incentive + Every 3 months once appraisal. Immediate joiners are preferred. Kindly reach out to Rajesh @ 8667472289 (WhatsApp) or rajesh.sairam@globalconnectsolution.in Note: Kindly message on WhatsApp if i am not answere...

Key Responsibilities Supervise, mentor, and guide a team of prior authorization associates to achieve individual and team goals. Review and allocate daily workloads, ensuring timely submission of prior authorization requests. Monitor team performance, productivity, and accuracy in handling authorization requests. Handle escalations, complex cases, and provide solutions to ensure timely approvals. Coordinate with physicians, clinical staff, patients, and insurance carriers to resolve pending authorization issues. Stay updated on payer policies, guidelines, and prior authorization requirements. Track and analyze metrics such as turnaround time (TAT), approval rate, and denial rate, and prepare...

We are hiring AR Callers & Prior Authorization Executives for US Healthcare (RCM / Medical Billing Process). Locations: AR Caller: Hyderabad, Chennai, Bangalore, Mumbai (Day & Night Shifts in Bangalore) Prior Authorization: Hyderabad & Mumbai Eligibility: Minimum 1 year of experience in AR Calling / Prior Authorization / US Healthcare RCM Qualification: Intermediate & above Immediate Joiners preferred Salary & Benefits: Salary: Up to 40,000 (Take-Home) 2-Way Cab Facility 5 Days Working (Saturday & Sunday fixed off) Attractive Performance-Based Incentives How to Apply: Share your updated resume on WhatsApp 8121575006 No Calls – Only Forward Resume. Shortlisted candidates will be contacted.