Prior Authorization

2 weeks ago

New Delhi Delhi India, Delhi Macro Outsourcing Full time

Company Description

Macro Outsourcing is a Business Process Outsourcing company specializing in transcription, billing, and document management services for medical clinics and physicians in the United States. Our mission is to streamline back-office operations by enhancing efficiency, reducing costs, and delivering quality services that comply with the high standards of HIPAA regulations. With a team of experienced professionals across finance, technical, medical, and legal domains, Macro Outsourcing integrates expertise to provide value-added services. We are centered around core principles of customer satisfaction, service excellence, and innovative solutions.


Job Description

We are hiring Prior Authorization & Patient Coordination Associates to support medication prior authorizations, patient communication, and coordination with U.S.-based clinics, pharmacies, and insurance companies. Comprehensive training will be provided. Freshers are welcome to apply.

Key Responsibilities:

  • Submit pharmacy and medical prior authorization (PA) requests through designated portals.
  • Follow up with insurance carriers regarding PA status, approvals, and appeals.
  • Contact patients to collect required information, provide updates, and assist with coordination.
  • Communicate with pharmacies for refills, prescription status, and clarifications.
  • Coordinate with physicians for clinical information, documentation, and required forms.
  • Record all actions and communication notes in EMR/EHR systems.
  • Manage fax communications and maintain task trackers for daily workflow.

Required Skills:

  • Strong command of English grammar
  • Moderate typing proficiency
  • Basic understanding of medications and medical terminology
  • Excellent communication and interpersonal skills
  • High attention to detail and accuracy


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