Auth Specialist for US Healthcare

1 week ago

hyderabad, India Good Health Company Full time

Company: TGHCO Health Care Private LimitedLocation: HyderabadAs an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities:Job Description:Review and Assess Requests:Evaluate prior authorization requests for various medical services, procedures, and medications.Ensure that all necessary clinical documentation is provided to support the medical necessity of the requested services.Verify Insurance Benefits:Confirm patient insurance benefits and eligibility through comprehensive intake processes.Communicate with insurance companies to verify coverage and obtain necessary authorizations.Documentation and Record Keeping:Maintain accurate records of all prior authorization requests, including approvals and denials.Document all interactions and decisions in the electronic health record (EHR) system.Communication:Liaise with healthcare providers, insurance companies, and patients to gather and confirm required information.Provide clear and concise information to patients regarding their authorization status and any potential barriers to care.Stay Updated:Keep abreast of changes in insurance policies, regulatory requirements, and procedural guidelines specific to healthcare.Ensure compliance with all relevant laws and regulations.Training and Mentoring:Assist in training and mentoring new staff members regarding the prior authorization process and best practices.Skills Required:Attention to Detail: Exceptional ability to scrutinize documentation and ensure accuracy in records.Communication Skills: Strong verbal and written communication for effective collaboration with healthcare professionals and insurance representatives.Analytical Skills: Proficient in evaluating medical necessity and substantiating requests based on clinical criteria.Organizational Skills: Ability to manage multiple requests simultaneously while adhering to strict deadlines.Problem-Solving Skills: Skilled at navigating complex issues to secure necessary authorizations.Technical Proficiency: Familiar with electronic health records (EHR) and medical billing softwareQualifications:Education: Any degree with additional training or certification in medical billing and coding, if possible.Experience: Prior experience in a medical business office or healthcare setting involving customer service or patient-facing responsibilities is preferredThis role is crucial in ensuring that patients receive timely and necessary medical care while navigating the complexities of insurance and authorization processes. If you have any specific questions or need further details, feel free to ask

  • Auth Specialist for US Healthcare

    3 weeks ago

    Hyderabad, India Good Health Company Full time

    Company: TGHCO Health Care Private Limited Location: HyderabadAs an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities:Job Description:Review and Assess Requests:Evaluate prior authorization requests for various medical services,...

  • Auth Specialist for US Healthcare

    4 weeks ago

    Hyderabad, India Good Health Company Full time

    Company: TGHCO Health Care Private Limited Location: Hyderabad As an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities: Job Description: Review and Assess Requests: Evaluate prior authorization requests for various medical services,...

  • Auth Specialist for US Healthcare

    2 weeks ago

    Hyderabad, Telangana, India Good Health Company Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Company: TGHCO Health Care Private LimitedLocation: HyderabadAs an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities:Job Description:Review and Assess Requests:Evaluate prior authorization requests for various medical services, procedures,...

  • Healthcare Specialist

    2 days ago

    Hyderabad, Telangana, India 3a7543c0-e85f-4bb0-9b3c-1289c422c984 Full time ₹ 4,00,000 - ₹ 6,00,000 per year

    Role DescriptionThis is a full-time on-site role for a Healthcare Specialist located in Hyderabad. The Healthcare Specialist will be responsible for administering emergency medical care, providing training on healthcare practices, and supporting the ongoing well-being of clients and employees. The role will also require effective communication and...

  • Us Healthcare Recruiter

    7 hours ago

    Madhapur, Hyderabad, Telangana, India APTIVA CORP Full time

    We are excited to announce an opening for a Healthcare Recruiter at Aptiva Corp. If you are passionate about connecting talented healthcare professionals with rewarding opportunities, we want to hear from you! Position: US Healthcare Recruiter Location: Madhapur, Hyderabad About Us: Aptiva Corp is a leading healthcare staffing and recruitment firm...

  • US Healthcare Recruiting

    6 days ago

    Hyderabad, Telangana, India Surestaff Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    We're Hiring – Candidate Engagement Specialist (U.S. Healthcare Staffing)Are you looking to transition from a soft skills/call center training background into a dynamic, client and candidate-facing role? This is your opportunity We'll provide all the training you need to succeed and grow in this fast-paced environment. What You'll DoManage crucial...

  • Senior US Healthcare Recruiter

    5 days ago

    Hyderabad, India MapOut Digital Solutions Inc Full time

    Job Description Why Join Digital Mapout Digital Mapout is a leading provider of innovative staffing solutions tailored to meet the dynamic needs of the US healthcare and pharmaceutical industries. We are committed to delivering exceptional talent acquisition services by leveraging cutting-edge recruitment technology, personalized strategies, and a deep...

  • US Healthcare Recruiter

    2 weeks ago

    Hyderabad, India InteliX Systems Full time

    Exciting Opportunity – US Healthcare Recruiter at InteliX SystemsWe’re hiring experienced and passionate US Healthcare Recruiters who are ready to grow in a fast-paced, rewarding environment.Location: HyderabadShift: 6:30 PM – 3:30 AM IST (Night Shift)ResponsibilitiesSource, screen, and recruit qualified healthcare professionals (Nursing, Allied...

  • US Healthcare Recruiter

    2 weeks ago

    hyderabad, India InteliX Systems Full time

    Exciting Opportunity – US Healthcare Recruiter at InteliX SystemsWe’re hiring experienced and passionate US Healthcare Recruiters who are ready to grow in a fast-paced, rewarding environment.Location: HyderabadShift: 6:30 PM – 3:30 AM IST (Night Shift)ResponsibilitiesSource, screen, and recruit qualified healthcare professionals (Nursing, Allied...

  • US Healthcare Recruiter

    6 days ago

    Hyderabad, India InteliX Systems Full time

    Exciting Opportunity – US Healthcare Recruiter at InteliX Systems We’re hiring experienced and passionate US Healthcare Recruiters who are ready to grow in a fast-paced, rewarding environment. Location: Hyderabad Shift: 6:30 PM – 3:30 AM IST (Night Shift) Responsibilities Source, screen, and recruit qualified healthcare professionals (Nursing, Allied...