Verification and Prior Authorization
7 days ago
**Job Summary**:The Eligibility Verification & Authorization Specialist is responsible for verifying patient insurance coverage, determining eligibility for services, and securing prior authorizations and referrals as required by insurance carriers. This role plays a vital part in ensuring patients receive timely care and that services are reimbursed accurately by payers.
**Key Responsibilities**:
- Verify patient insurance coverage and eligibility via online payer portals or by contacting insurance carriers directly.
- Obtain prior authorizations for procedures, and specialist visits as required.
- Proactively follow up with insurance companies on pending authorizations and denials.
- Maintain knowledge of payer-specific guidelines, medical necessity requirements, and authorization procedures.
- Work closely with the billing team to ensure accurate claim submission and reduce denials.
- Ensure compliance with HIPAA and other applicable regulations in all communications.
**Job Types**: Full-time, Permanent
Pay: ₹21,000.00 - ₹35,000.00 per month
**Benefits**:
- Commuter assistance
- Food provided
**Experience**:
- Verification & Authorization: 1 year (preferred)
Work Location: In person
-
Prior Authorization Analyst
2 weeks ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization SpecialistJob SummaryThe Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
6 days ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization SpecialistJob SummaryThe Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
5 days ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization SpecialistJob SummaryThe Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
2 weeks ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization Specialist Job Summary The Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
2 weeks ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization SpecialistJob SummaryThe Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
5 days ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization Specialist Job Summary The Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
1 week ago
Mohali, Punjab, India Nath Outsourcing Solutions Pvt. Ltd. Full time ₹ 2,00,000 - ₹ 6,00,000 per yearPrior Authorization SpecialistJob SummaryThe Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Eligibility Verification
2 weeks ago
Mohali, Punjab, India PAMM INFOTECH PVT LTD Full timeThe Eligibility Verification & Authorization Specialist is responsible for verifying patient insurance coverage, determining eligibility for services, and securing prior authorizations and referrals as required by insurance carriers. This role plays a vital part in ensuring patients receive timely care and that services are reimbursed accurately by...
-
Prior Authorization Analyst
2 weeks ago
mohali district, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization SpecialistJob SummaryThe Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
-
Prior Authorization Analyst
2 weeks ago
Mohali district, India Nath Outsourcing Solutions Pvt. Ltd. Full timePrior Authorization Specialist Job Summary The Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The...
