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Omega Healthcare
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Team Lead - Prior Authorization (Hyderabad)

Team Lead - Prior Authorization (Hyderabad)

Omega Healthcare

6 - 9 years

7 - 9 Lacs

hyderabad

Posted:1 week ago| Platform:

Apply

Skills Required

prior authorization eligibility verification ar calling us healthcare rcm

Work Mode

Work from Office

Job Type

Full Time

Job Description

Key Responsibilities:

Lead and manage Prior Authorization operations.
Ensure timely and accurate submission of authorizations.
Handle team performance, reviews, and escalations.
Participate in client calls and ensure SLA compliance.
Track key metrics like approval rates and turnaround time.

Skills Required:

Minimum 6+years of experience
in US healthcare processes, with
at least 1 years in a Team Lead role (on paper)
for
Prior Authorization
Strong knowledge of
Prior Authorization workflows
, payer guidelines, and pre-cert requirements
Add-on experience in
Eligibility and Benefits Verification
is a strong advantage
Excellent
communication and interpersonal skills
must be comfortable leading client discussions
Strong team management, performance tracking, and escalation handling skills
Familiarity with EHR/EMR systems and payer portals.

Good to Have:

Knowledge of insurance plans (Commercial, Medicare, Medicaid)
Experience in handling multi-specialty authorizations (Radiology, Surgery, DME, etc.)
Exposure to quality metrics and reporting tools
Understanding of HIPAA and compliance regulations

Graduation Mandatory.

Location: Hyderabad (On-site)

Shift: Night Shift

Reach suriyakala Rajasekar 7449209390

Mail ID - Suriyakala.Rajasekar@omegahms.com

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