Executive/SR Executive/QCA-Prior Authorization

3 days ago


Hyderabad, India Omega Healthcare Full time

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 information.

Provides insurance company with clinical information necessary to secure prior-authorization or referral.

Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries.

Preferred candidate profile

Role Prerequisites:

  • Minimum 1 year and above experience in Prior Authorization ( Voice Process )
  • Good understanding of the medical terminology and progress notes

Note: Only Immediate Joiners are required, and freshers please ignore it.

How to Apply

Ready to take your career to the next level? Apply now

Email your resume to:

Call:

Chat on WhatsApp:

Regards:

Keziya.A



  • Hyderabad, India Primera Medical Technologies Full time

    The Prior Authorization Manager is responsible for overseeing the daily operations of the prior authorization department. This role involves leading a team to ensure all required prior authorizations are obtained accurately and in a timely manner for patient services, medications, and procedures. The manager will develop and implement efficient workflows,...


  • Hyderabad, Telangana, India Primera Medical Technologies Full time ₹ 1,50,000 - ₹ 28,00,000 per year

    The Prior Authorization Manager is responsible for overseeing the daily operations of the prior authorization department. This role involves leading a team to ensure all required prior authorizations are obtained accurately and in a timely manner for patient services, medications, and procedures. The manager will develop and implement efficient workflows,...


  • Hyderabad, India Kria Infotech Full time

    Job description EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE Position 1: Prior Authorization Executive- Voice Process. Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation. Review and process pre-authorization requests for...


  • Hyderabad, Telangana, India Sutherland Full time ₹ 6,00,000 - ₹ 15,00,000 per year

    Role & responsibilitiesPrior Authorization ManagementInitiate and submit prior authorization requests for medical services, diagnostic procedures, and medications.Review and interpret payer guidelines to ensure proper documentation is provided.Track and monitor status of submitted authorizations and follow up with insurance payers as needed.Preferred...


  • Hyderabad, Telangana, India Staffingly, Inc Full time

    Job DescriptionJob Title: Prior Authorization Team LeadLocation: Kondapur, Hyderabad - ONSITEShift Timing: U.S. Time Zone - Indian night shiftsDepartment: Revenue Cycle / Prior AuthorizationWe appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested.At Staffingly, Inc., we are at the...


  • Hyderabad, India Staffingly, Inc Full time

    Job Description Job Title: Prior Authorization Team Lead Location: Kondapur, Hyderabad - ONSITE Shift Timing: U.S. Time Zone - Indian night shifts Department: Revenue Cycle / Prior Authorization We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested. At Staffingly, Inc., we...


  • Hyderabad, Telangana, India beBeeOncology Full time ₹ 8,00,000 - ₹ 15,00,000

    Job Title:Cancer Treatment Prior Authorization Specialist", "This is a challenging role that involves streamlining access to cancer treatments and ensuring timely processing of prescriptions.", "To be successful in this position, you will need to have experience working with electronic prior authorizations and a strong understanding of oncology...


  • Hyderabad, Telangana, India Prove It Catalysts Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    *** 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...


  • Hyderabad, India Prove It Catalysts Full time

    *** 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...

  • Prior Authorization

    5 days ago


    Hyderabad, Telangana, India INTIGNIZ Solutions Pvt. Ltd. Full time ₹ 5,50,000 per year

    We're Hiring – Pre Authorization| US Healthcare (Provider Side) Location: Hyderabad (Work from Office) Shift: Night Shift (2-way cab provided) Salary: Up to 5.5 LPACompletely in Voice Process Notice Period: ImmediateExperience Required: 1–3 Years RCM / Denial ManagementInterview Process: Online Assessment → F2F Manager Round If interested, share your...