Prior Authorization Analyst
3 weeks ago
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
-
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