1 years

1 - 7 Lacs

Posted:2 weeks ago| Platform: GlassDoor logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: Prior Authorization Analyst
Location: Mohali, Punjab
Experience Required: Minimum 1+ year (Physician Side – US Healthcare)

Job Description:

We are seeking a skilled Prior Authorization Analyst with hands-on experience in Physician-side Prior Authorization. The role involves managing authorization requests, handling denials, and ensuring smooth communication with payers and providers.

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

Job Type: Full-time

Pay: ₹12,941.33 - ₹59,999.00 per month

Benefits:

  • Commuter assistance
  • Food provided
  • Health insurance
  • Provident Fund

Work Location: In person

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