Prior Authorization Specialist

7 days ago


Hyderabad India Business Outsourcing & Staffing Solutions (BOSS) Full time

Job Description Company Description Business Outsourcing & Staffing Solutions (BOSS) is a vibrant company established by medical professionals to offer specialized back-office services for small and medium healthcare practices in the USA. Based in Hyderabad, India, BOSS provides comprehensive support, including front office, back office, clinical back office, data management, and document management solutions. Our services are designed to streamline operations, enabling healthcare practices to focus on patient care. We pride ourselves on delivering high-quality operational support tailored to the healthcare industry. Role Responsibilities - Conduct prior authorization requests for medical procedures, drugs, and services. - Verify patient insurance eligibility and benefits using payer portals and phone calls. - Identify and calculate Patient responsibilities. Such as Copay, Deductibles, and Co-Insurance. - Communicate with insurance companies, providers, and patients to resolve authorization issues. - Maintain accurate documentation and follow HIPAA compliance standards. - Collaborate with clinical and administrative teams to ensure timely approvals. Qualifications - Minimum 2 years of experience in U.S. healthcare prior authorization and eligibility verification. - Familiarity with major insurance providers (Medicare, Medicaid, commercial payers). - Proficiency in using EMR & EHR systems and payer portals. - Strong communication and organizational skills. - Knowledge of medical terminology and coding (CPT, ICD-10) is a plus.


  • Prior Authorization

    3 days ago


    Hyderabad, Telangana, India Intigniz Solutions Full time ₹ 4,58,224 - ₹ 6,00,000 per year

    Prior Authorization Specialist (1+ Years Experience)Responsibilities:Review and process prior authorization requests for medical procedures and medications.Verify insurance eligibility and coverage details.Communicate with providers, payers, and patients for required information.Ensure timely and accurate documentation in systems.Follow up on pending...

  • Team Lead

    4 weeks ago


    Hyderabad, India PrimEra Medical Technologies Full time

    Job Description The Prior Authorization Team Lead position is now open. This role is essential for overseeing the daily operations of the Prior Authorization team, ensuring the timely, accurate, and compliant processing of all prior authorization requests for medical procedures, medications, or treatments. Key responsibilities include leadership, staff...


  • Hyderabad, India Good Health Company Full time

    We're Hiring: Authorization Specialist – US Healthcare📍 Location: Hyderabad 🏢 Company: TGCHO Health Care Private LimitedAre you detail-oriented, organized, and passionate about making a difference in healthcare delivery? Join our team as an Authorization (Auth) Specialist and play a vital role in ensuring patients receive the care they need—on time...


  • Hyderabad, India Good Health Company Full time

    We're Hiring: Authorization Specialist – US Healthcare 📍 Location: Hyderabad 🏢 Company: TGCHO Health Care Private Limited Are you detail-oriented, organized, and passionate about making a difference in healthcare delivery? Join our team as an Authorization (Auth) Specialist and play a vital role in ensuring patients receive the care they need—on...

  • Team Lead

    2 weeks ago


    Hyderabad, India PrimEra Medical Technologies Full time

    The Prior Authorization Team Lead position is now open. This role is essential for overseeing the daily operations of the Prior Authorization team, ensuring the timely, accurate, and compliant processing of all prior authorization requests for medical procedures, medications, or treatments. Key responsibilities include leadership, staff development, workflow...


  • Hyderabad, Telangana, India JSD Medical Business Management Services Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    Responsibilities:* Verify patient eligibility and benefits* Ensure compliance with regulatory requirements* Coordinate with healthcare providers and insurers* Manage prior authorization process from start to finishProvident fund


  • Hyderabad, Telangana, India NexCen Global Inc Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Role DescriptionThis is a full-time, on-site role for an Oncology Authorizations Specialist, based in Hyderabad. The Specialist will be responsible for securing prior authorizations for oncology services, liaising between healthcare providers and insurance companies, and ensuring compliance with organizational and payer guidelines. Tasks also include patient...


  • India Taglynk Full time

    Role Overview As a CoverMyMeds Specialist, you will be responsible for managing electronic prior authorizations (ePAs) and ensuring timely and accurate processing of oncology-related prescriptions. You will work closely with prescribers, pharmacies, and payers to streamline access to critical oncology treatments and minimize delays in patient care.Key...


  • India Taglynk Full time

    Role Overview As a CoverMyMeds Specialist, you will be responsible for managing electronic prior authorizations (ePAs) and ensuring timely and accurate processing of oncology-related prescriptions. You will work closely with prescribers, pharmacies, and payers to streamline access to critical oncology treatments and minimize delays in patient care. Key...


  • Hyderabad, Telangana, India Eclat Health Solutions Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    Job Description Associate, Inpatient Prior AuthorizationAssociate Inpatient Prior AuthorizationDepartment: Revenue Cycle Management / Utilization ManagementReports To: Team Lead Prior Authorization / Prior Authorization SupervisorJob Level: Associate / Entry to Mid-LevelWork Location: RMZ, Hi-Tech city HyderabadEmployment Type: Full-timePosition SummaryThe...