Team Lead Hospital Billing Inpatient Prior Authorization
4 days ago
Hello,
Greetings from Eclat Health
We are hiring for Team lead Ops - Hospital Billing Prior - Authorization
Job Description
We are looking for an experienced Team Lead Hospital Billing Inpatient Prior Authorization to lead our growing Pre-Authorization (RCM) team. The ideal candidate will oversee inpatient authorization processes, guide team performance, and ensure seamless coordination with U.S. healthcare payers and clinical teams.
Key Responsibilities
- Verify insurance coverage for hospital inpatient and emergency admissions
- Estimate patient charges and calculate deposit requirements
- Submit clinical documentation to support medical necessity reviews
- Track and secure initial and continued stay authorizations
- Maintain accurate records of pending, approved, denied, and appealed cases
- Collaborate with clinical and administrative teams to prevent delays in patient care
- Supervise and mentor team members to achieve accuracy and productivity goals
Required Skills & Experience
- Experience: Minimum 7+ years in Hospital Billing Inpatient Prior Authorization
- Must have 1+ year on-paper supervisory/team lead experience
- Expertise in payer portals and EMR systems (Meditech, EPIC, etc.)
- Excellent communication, analytical, and leadership skills
- Strong attention to detail and ability to work in a fast-paced environment
- Flexibility to work in night / rotational shifts
Immediate to 30 Days Notice Preferred
Eligible profiles can write to
WhatsApp - Vinay HR
Regards
Vinay HR
Eclat Health Solutions India Pvt Ltd
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