302 Prior Authorization Jobs - Page 8

Were Hiring AR Caller / Sr. AR Caller || Prior Authorixation || Dayshift || NIghtshift || 5.5 LPA || 2 way cab Roles Were Hiring For: AR Caller / Sr. AR Caller Physician Billing (RCM / Denial Management) Prior Authorization Executive US Healthcare Locations: Hyderabad | Bangalore | Mumbai (Work From Office) Shifts: Day & Night Shifts Available (Based on process) US Shift (6:30 PM 3:30 AM) Night Shift with 2-Way Cab Eligibility: Experience: Minimum 1 Year in AR Calling (Physician Billing / RCM / Prior Auth) Qualification: Intermediate / Graduate (Any stream) Relieving Letter: Required for some processes (Not mandatory for all) Notice Period: Immediate Joiners Preferred Salary & Perks: Up to 4...

1. We Are Hiring AR Callers || Up to 40 K take home Salary || Cab Facility || Incentives || Immediate Joiners || Job Title - Senior AR Caller Eligibility :- Min 1+ years of experience into AR Calling Package :- Best In the Industry + 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 2. Hiring AR Callers , Customer Support - Voice || Freshers || Immediate Joiners AR Caller US Healthcare - Freshers Location: Hyderabad (Manikond...

Only Bpharma / Mpharma / BDS candidate can apply 1 year Exp in Prior Authorisation Backend mandate Sal- Upto 5.8 lpa 5 Days / Both Side Cabs / US Process For Quick Alignment Whatsapp CV- 7678227725 (Eva) and write Healthcare Required Candidate profile B.Pharma/M.Pharma candidate With Minimum1 year Of Exp Into Health Care process Can Apply Please Note : We Need Immediate Joiners For More Queries Whatsapp Your Cv 7678227725 (Eva)

Comapny - Pacific Access Healthcar 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...

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...

Comapny - Pacific Access Healthcar Location - Noida Position - Executive / Sr Executive Contact - 9891404338 / 7303413866 (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 r...

Role & responsibilities Review and process prior authorization requests in a timely and accurate manner. Communicate with healthcare providers, insurance companies, and patients to obtain necessary information and documentation. Ensure compliance with all regulatory and company policies and procedures. Maintain accurate records of all prior authorization activities and decisions. Provide support and guidance to healthcare providers and patients regarding prior authorization requirements and processes. Collaborate with other team members to improve workflow and efficiency. Stay updated on industry trends, regulations, and best practices related to prior authorization and healthcare operations...

As a Technical Lead - RPA at CitiusTech, you will be part of an Agile team responsible for designing and building healthcare applications, implementing new features, and ensuring adherence to the best coding development standards. Your primary responsibilities will include: - Developing RPA code in compliance with client's coding standards, minimizing the need for major code reviews and handholding. - Ensuring that coding standards applicable to the Customer environment are strictly followed. - Conducting peer reviews, providing feedback on coding, testing, and documentation. - Managing UAT defects to facilitate the smooth transition of bots from UAT to Pre-Prod and then to Prod. - Creating ...

Hiring for Healthcare authorization Need B.pharma & M.Pharma pass with 1yr exp in medical scribe, authorization, summarization Loc Gurgaon Salary upto 5.80LPA 5 Days working Rotational shift/OFF Snehal 9625998099 Lakshita 8595954721 Divya 9910810424 Required Candidate profile Candidates must have Good communication skills. Candidates must be comfortable working in any shifts.

Review Google for missing data elements. Initiate request for medical via system. Ability to prioritize and maintain quality. Clear and accurate written and verbal communication (Scripted and Templatized) with stateside Required Candidate profile Knowledge about the Insurance industry in US Knowledge about US Culture Knowledge of Insurance principles Knowledge of Disability domain interpret business documents. Good verbal comms

We're Hiring ! Looking to grow your career in healthcare operations? Eligibility Verification Benefits Verification Prior Authorization Eligibility Criteria : Minimum 1+ year of RCM experience Immediate joiners preferred What We Offer: Attractive Incentives 5-Day Work A dynamic, growth-focused work environment Walk-In Drive | Mohali | DM to apply or walk in directly! Hemalatha HR -7200053787 hemalatha.bjobixoindia.com

We Are Hiring AR Caller / Prior Authorization / EVBV / Medical Billing Professionals Locations : Hyderabad | Mumbai | Chennai Work Mode : Work From Office Open Positions : AR Caller Prior Authorization (Prior Auth) EVBV Medical Billing Eligibility Criteria : Minimum Experience : 1+ Year (Mandatory) Education : Graduation (Mandatory) Relieving Letter : Mandatory Salary Package (Based on Current CTC) : AR Calling : Up to 4.2 LPA Prior Authorization : Up to 4.6 LPA EVBV : Up to 4.6 LPA Medical Billing : Up to 4.3 LPA Perks & Benefits : Cab Facility Provided Notice Period up to 60 Days Accepted ( Only for Mumbai Location) Fixed night shift{6:30pm-3:30am} Note : Immediate joiners will be preferre...

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 & responsibilitiesObtains 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 i...

Location Hyderabad & 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 informatio...

Sutherland is hiring Immediate joiners Sutherland is seeking a skilled and experienced RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of physician billing, CMS 1500, and Denial management this is the perfect opportunity to advance our career with global leader in business process transformation AR Calling - For Provider Minimum 24 Months work experience required CTC 3 LPA - 5.5 LPA Looking for Immediate joiners Physician billing, CMS 1500 End to end Denial Experience/ Modifiers/ CPT Codes Night shift/ Fixed week off Mandate WFO, no hybrid Transport radius should be 25KM Contact person: Akshaya JM Contact number: 8072294017 Quality Analyst - US Healthca...

AR Calling Active Openings - Cab Facility + Incentives Hyderabad , Mumbai Experience - Min 1 year into ar calling Package - Max Upto 40k Take Home Qualification - Inter & above Virtual and Walk-in Interviews Chennai Experience - Min 1.6 years into ar calling Package - Max Upto 5.5 Lpa Qualification - graduation Walk-in Interviews ( Reliving mandatory ) AR QA - Hyderabad (WFO) Experience - 5+ yrs AR + 1.5 yrs QA (on paper) or 2 yrs QA (off paper) Strong AR & QA knowledge Package - Max Upto 6 LPA | 42K TH + 2200 Allowances + Incentives Qualification - graduation Relieving letter Mandate ( 0 -10 days of notice period ) Interview - HR Virtual | Manager Face to Face Prior Authorization Openings H...

Dear Candidates , Hiring Insurance Verification (IV) Caller US Healthcare Experience Required: 14 years Work Mde- full Time Shift: Night shift The Insurance Verification (IV) Caller is responsible for contacting insurance carriers in the United States to verify patient eligibility, coverage, benefits, and authorizations. This role plays a key part in ensuring accurate billing and clean claim submissions for healthcare providers. Key Responsibilities: Call US-based insurance companies to verify patient eligibility and benefits . Gather and confirm details such as: Policy status, effective dates, and plan type (HMO/PPO/etc.) Co-pay, co-insurance, and deductible amounts Authorization or referra...

As a Registered Nurse (RN) with active, unrestricted license in [state], your primary responsibility will be to review and assess clinical information submitted with Prior Authorization (PA) requests to determine medical necessity, appropriateness, and benefit coverage. You will conduct clinical evaluations for outpatient, inpatient, and specialty services, including J-code medications and durable medical equipment (DME) as applicable. It will be essential for you to apply CMS Medicare Advantage guidelines, internal policies, and clinical criteria (such as MCG/InterQual) to make informed decisions. Collaboration will be a key aspect of your role as you work closely with physicians, pharmacis...

*** Looking for IMMEDIATE JOINER *** Job Description: We are seeking a dedicated MRI and CT Prior Authorization Specialist to join our Radiology Services team. This role is critical in ensuring prior authorizations for MRI and CT scans are obtained efficiently while maintaining close communication with physicians to secure scripts, medical records, and necessary documentation. The ideal candidate will be detail-oriented, communicative, and experienced in the U.S. healthcare and insurance systems. Key Responsibilities : Obtain prior authorizations for MRI and CT imaging procedures from insurance providers. Contact physicians and healthcare providers to request scripts, medical records, and su...

We Are Hiring Prior Authorization Executive | Hyderabad & Mumbai(WFO) Location: Hyderabad Work From Office Shift: Fixed Night Shift Cab: 2-Way Transportation (Within 25 KM Radius) Job Requirements: • Minimum 2+ Years of Experience in Prior Authorization • Degree Mandatory • Relieving Letter Mandatory Salary Details: • CTC: Up to 5.5 LPA • Take-Home: Up to 35,000 (30% Hike on Current Take-Home) • Shift Allowance: 2,200 We Are Hiring AR QA :- Exp :- Min 5+ yrs exp in AR Calling & 1.5 Years On Papers Experience As a QA OR 2 Years Off papers exp in Mandate to have Location :- Hyderabad Package :- Up to 6 LPA & 42K TH + 2200 Allowances 2 Way Cab Must Haves :- Degree with all docs & Relieving Lett...

AR CALLING ACTIVE VACANCIES Hyderabad Experience - Min 1 year into AR Calling Package - Max Upto 40k Take Home Qualification - Inter & Above Virtual Interviews Mumbai Experience - Min 1 year into AR Calling Package - Max Upto 40k Take Home Qualification - Inter & Above Virtual and Walk-in Interviews Chennai Experience - Min 2 years into AR Calling Package - Max Upto 5.5lpa Qualification - Graduation Virtual Interviews ( Reliving mandatory ) PRE AUTHORIZATION ACTIVE VACANCIES Hyderabad Experience - Min 2 years into Prior Authorization Package - Max Upto 5.5 Lpa Qualification - Graduation Reliving mandatory Walk-in Interviews Mumbai Experience - Min 1 year into Prior Authorization Package : Ma...

Job Title: EV Caller Location: Noida Shift: Night Shift Experience Required: 3-5 Years Job Description: The EV (Eligibility & Verification) Caller is responsible for verifying patients' insurance coverage by calling insurance providers or using online portals. They ensure accurate recording of policy details, coverage limits, co-pays, deductibles, and benefit information.The Authorization Specialist secures prior authorizations for medical services by coordinating with payers and providers. They follow up on pending requests and ensure all approvals are in place before patient services are rendered. Key Responsibilities: Contact insurance companies to verify patient benefits and eligibility ...

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. Authorization Caller - Night shift, Chennai. Pre-authorization Caller - Night shift, Bangalore. Rounds of Interview: Only one technical round. Shift Timing: Night Shift & Day 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 @ 86674722...

Walk-In Drive | Mohali | 21st26th July We’re hiring professionals from RCM for: Eligibility Verification & Benefits Verification Prior Authorization Location: Mohali, Punjab Experience: Min 1 Year | Job Summary: We are hiring skilled RCM professionals for our **Mohali office** to handle Eligibility & Benefits Verification and Prior Authorization tasks. Join us to grow your healthcare career and make an impact! Key Responsibilities: * Verify patient insurance eligibility and benefits via payor contact/portals. * Initiate and complete prior authorization requests for medical services. * Follow up with insurance companies on approval/denial status. * Document authorization details accurately in...

Location: Chennai, Bangalore, Hyderabad, Pune & Baroda Work Mode : Hybrid Exp : 10+ Yrs Looking for Immediate to 15 Days joiners only, since we are planning to kick start this project by Aug 1st week. We are seeking a detail-oriented and proactive End-to-End Test lead, preferably 12+ years with strong expertise across Member Enrollment, Claims, Prior Authorization, Encounters and Care Management domains in the US healthcare ecosystem. The ideal candidate is an independent thinker , able to design and execute test strategies, ensuring comprehensive coverage and quality in complex healthcare systems. Key Responsibilities: Develop, execute, and maintain end-to-end test scenarios spanning multip...